HomeMy WebLinkAboutBuilding Permit 11-0666 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 94.41
ADDRESS 16,7 g so . v ,
OWNER CONTR.
PHONE NO. PERMIT NO. 1 1 — (
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: Ke2 roa�
` *It4i14,
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE 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!
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o4 PR /r CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S� /)
AND UTILITY CONNECTION PERMIT
~�NNESO�� I White File PERMIT NO . il /- / C'
7
2 A 1 D/ w t /)
3 Yell ow ApApplicant KKK... 6 C
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
ibq Z3 Cg_i Msoa CT, S E-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER A A '(� • /
(Name) A g i� R. b E P K E (Phone)
(Address) -
BUILDER I .--
T (qs ` 4 g . 43 g -
(Company Name) Ch(Z� l 4/4 L f� /2 S I 0 /Z (Phone)
(Contact Name) — riglty •&OA./ (Phone) ?
(Address) i/1 / D �/tLLEy / I %/!7 D . 8L . ,31 M/J 3
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Conn cti n
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this = •hc.tion whit the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above -me. : ■ , rty d that . uction ill • fl to all ex : state and local laws and will proceed in accordance with submitted plans I am aware that the building
official eby agree t he city official or a designee may enter upon the property to perform needed ins cnons
ig. �'��� I 2 7 Z7 ` /1
�'� • : a re ' 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 $ rJ
Gas Fireplace Permit Fee $ TOTAL DUE $ 79 /3-
Application Becomes Your Building Permit When Approved W t No. G po
pp � S ppr Paid ��.
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Date 7 )4 f /
Thi s A
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