HomeMy WebLinkAboutBuilding Permit 11-0632 DATE TIME
CITY OF PRIOR LAKE �(
INSPECTION NOTICE SCHEDULED 11) 1 ,1
ADDRESS 42 t D. D ,
OWNER CONTR.
PHONE NO. PERMIT NO. 11 — (
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILUNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
g -FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
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COMMENTS: roc:!
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4?..1-05
"r WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CAL 7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH A SAFETY!
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ic PR CITY CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
ol AND UTILITY CONNECTION PERMIT 7.. ( JT ( /
ol 44 i White File
2 PERMIT NO
Yellow C Applicant l � .
3 Yellow City / 6,
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
ANG ■le LA
LEGAL DESCRIPTION (office use only)
W BLOCK ADDITION PID
OWNER r ��(�� 7�
(Name) II 1 - w -4 (Phone) C " \"1lD - MOO
(Address) Wils, 4, e ( \'''
BUILDER 1111 `, //r \ pt r
(Company Nam: r! C .0 !�� t k V- (Phone) (GAZ1 O�.�j- VG
(Contact Name) ‘ . i.' IA Phone) (rSt C \k "' - Ian
(Address) 141 , .. t :1. M �• • l i1C► [ ►. ■
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 1
Occupancy Group: A B E F H I M R S U (excluding land) 1
Division: 1 2 3 4 5
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge tnie and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that • •*. . t will confor . to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
official can revoke this E. • urth ore, 1- a/. hat hat the city official or a designee may enter upon the property to perform n ded m s
spectio
de
- - Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ - - 76 ..... - -
. A
This Application Becomes Your Building Permit When Approved Paid Recei, F o. ar1rai
Date ei (S�. r By ..
Building Official Date /
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372