HomeMy WebLinkAboutBuilding Permit 10-0301 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED - 2/7/2
ADDRESS 1 (r, ( Y� —' 10-572 Th AA-"5 4'0' l'. ' /{4'"t
OWNER CONTR.
PHONE NO. PERMIT NO. ) O — 3 �/
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR. C / ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner /Contr:
CAL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOT/
o , PR / o ff CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE L Zi 1 Q
x AND UTILITY CONNECTION PERMIT
rn
MiA'NESo ''P I. White File
2. Pink city PERMIT NO. /6 030/
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 t 4 2 ?— I I ( ;r015wlc,k rci-t-&_ 5_6.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER w / �1
(Company Name) to V ASIdV\ 'f- l � CI;)tit S . 4 1C (Phone) 6/. - 3c C J - 3 -6/ V
(Contact Name) A vrt5S J9001.01 1 (Phone)
(Address) L 7� 6 t k c� U pfd. k._.: .
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish 1:1 Fireplace
['Addition ❑Alteration ['Utility Conne X
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5 i
1 hereby certify t ve f urn i shed i nformation 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 - mention. , ..erty 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 rev`, • is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X ' D °Ge - »3d. L - r ? ID
1 " attire 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 $ n /
Gas Fireplace Permit Fee $ TOTAL DUE $ 96 — .--
This Applic , . ' • comes Your Building Permit When Approved Paid 76 — R ipt No. 6,
Date L ? 7 / / ////
dine Official Date
This is to Ni- � tify 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 sig • •d 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
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