HomeMy WebLinkAboutBuilding Permit 11-0612 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 4Z—
ADDRESS (Iii 5 CC(
OWNER CONTR.
PHONE NO. PERMIT NO. I t -- Cp 2.
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
X FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION nn ❑ MECH FINAL ❑
COMMENTS: V`e rop�
(-\`
30
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.
INSNOTI
of PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
, , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT `7.- (L-' 1 �
�
��NNE50�� I. white File PERMIT NO . l
3 Pink City `l y r
3 Yellow Applicant
print and sign at bottom)
ADDRESS ) A ZONING (office use)
- ` - l 44 Z D-r $ a. 44-MI C--
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
C ame) e- i HeLtd l/ b L.51, (Phone)
(Address)
�,_: / - (zo) y
S Il' • , .. ,,.•,/ e/ �� (Phone 3007 �y d
ontact Na' e) '�( J" ` , �f�n r'► a e)
t .
• ddress. 1 t �1 l 3o l e.. " 0t ,,yd'� N 5 (Z �11r1, ,C ✓1 C�-.- M
TYPE OF WORK ❑ New Construction ['Deck EPorch KRe- 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 AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I i hereby certify that 1 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 tse Fun - ore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Cigna 1 e ontractor's License 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 $ 79 7-r
1
This Application Becomes Your Building Permit When Approved Paid 1 ReCe t No. (.0.5....0 2.-4-
Date 7- /2 - _i/ 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