HomeMy WebLinkAboutBuilding Permit 11-0743 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �j 9 / 2N:41:
ADDRESS 34 v P K 772.4,
OWNER CONTR.
PHONE NO. PERMIT NO. d 4 7d-3
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
IEICFRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: dill /AiO0 V ■J$
( -(6
1
A NORK SATISFACTORY, PROCEED
❑ CORRECT AC ION AND PROCEED
CI CORRECT W f;, ALL FO - - • ' EFORE COVERING
I nspector: IA 1 Owner /Contr.
CAL 447 -9850 OR THE NEXT INS ' 12N 24 HOURS IN ADVANCE.
C (Or IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
o PR /p. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE y o ( I
AND UTILITY CONNECTION PERMIT
Q l-
,.._ SOAP I White File
2 Pink City PERMIT NO. l / / I /
3 Yellow Applicant / / 1
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3W7 , —( 2 /t 7
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER "ems �I
(Name) he''�;�x,� / ,1"/P, 4 e (Phone) 45d — W7 — eFSI c 1
(Address) 34 7 Sfh^y .P_ 7ju( 4i ∎K h^t, , 47 653 70;
BUILDER _ j , r
(Company Name) a,i a./'/ZW'9/S al 07/t/ (Phone) _sJ- 9DS'�IDs
(Contact Name) z) 4 - a /e� . S/e /vs G PO'A(
fr 7 (Phone)
(Address) ' k 71- 1C.
f,.,, _
TYPE OF WORK ❑ New Construction ['Deck ['Porch DRe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition DAlteration DUtility Connection J /
CODE: ❑I.R.C. ❑I.B.C. 'Misc. / «eotw.7T
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ /4 705
Occupancy Group: A B E F HI MR S U
(excluding land)
Division: 1 2 3 4 5
I hereby certify th t I - , ve ni e information on this application which is to the best of my knowledge true and correct I also certify that 1 am the owner or authorized agent for the
above- menti. e' .erty 4. t 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 ca .' , s pe . • Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspe ions
X JJ /4 ∎ a20 4.3 5 93 ST //a /
Signature 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 i $ _77 7f
This Application Becomes Your Building Permit When Approved Paid AMBENIIIIIII Qrei.t No. W
Date _ irj /N1 -E
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