HomeMy WebLinkAboutBuilding Permit 11-0653 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED e4141]
ADDRESS L L 12-01 Ner took R, br
OWNER CONTR.
PHONE NO. PERMIT NO. t I — 653
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
Ii FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: P.e ,4 (,J;
f (0 se.. +eq. I' L
.WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
=Non
S 76
OF PR 'O 4P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
j fi , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
- tv AND UTILITY CONNECTION PERMIT
M
1 White FiPP
2 Pink City C ' PERMIT NO / / // „1"4
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4/9 7 ClUer /a ,4' ,Qr SC
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER / 2 f
(Name) PO sic lG t..tri, 0 /0 c4 (Phone) 95 V 4"C ' 63 7
(Address).. 7 _ d v e - I o i e . Qr , , A .n✓' , , y47.- t _173 5 7A , r _ .
BUILDERS / ""
(Name) a.///100) 61O/?r' -5 G/ ,10if°SV 4 (Phone) l S/- qos -r,,' 0 s
(Contact Name) _ 6pel /Sa (Phone)
(Address) 9d ei Ld'yte. 41., ,d, . �ri' /9S 6t? 5 a. 4 . - ,(r J 5 i '/
TYPE OF WORK 0 New Construction ['Deck d °Porch ORe- Roofing DRe- Siding
['Lower Level Finish 0 Fireplace ['Addition ['Alteration QUtility Connection
Misc./40 1 mr/6 a PROJECT COST/VALUE (excluding land) $ /4 7, 7 '
I hereby certify r that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above - mentioned property and that all construction will conform 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up.. f , .. r t.. erform needed inspections.
X iiiAtair. Q7e/‘,.?1/ 93 //,0
re Contractor's License No. q2,r Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
-Plan£ heck Fee - x - 1_ $ - _ - t Water ls4eter - Size 5/8 "; 1 "; j $ . _ a
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 7 9 7—.C.-
This Application Becomes Your Building Permit When Approved Paid '7 '7. I S ipt No. 473 44-1
Date 7 2. C� , l I '
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
16200 Ea¢le Creek Avenue Prior i.ake. MN 55172 -