HomeMy WebLinkAboutBuilding Permit #11-0163 `'' DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �a:�-(� �� ( � -=��
ADDRESS � � � � � t � �
OWNER CONTR.
PHON6 NO. PERMIT NO. ��� �` C�--� �
O FOOTING ❑ PLUMBING RI O EXlGRADlFILI.ING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE R(
❑ INSULATION � SEWER HOOKUP ❑ FIREPLACE FINAI
❑ FtNAL O PLUMBING FINAL O GA AIR TST
� SITE INSPECTION O MECH F1NAl. ;k� �`-'" ��- �
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COMMENTS: �
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❑ WORK SATISFACTORY, PROCEED
❑ COi2RECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERiNG
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEX7 INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �D .� I
ADDRESS 'f � Z I � r
OWNER CONTR
PHONE NO. PERMIT NO. ( I I c�
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION � MECH FINAL ��"�
COMMENTS:
. �
r�-- I,t) � �,•�
o r
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT 10 AND PROCEED
�CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
F rrtj CITY OF PRIOR LAKE BUILDING PERMIT, ��/ / Date Rec'd
° "� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� '� 3. ��`(�
<�< ,� AND UTILITY CONNECTION PERMIT
U �r
M�'�'NES��P I. White File
2. Pink ��� PERMIT NO. I� (��
3 Yellow Applican[
Please e or rint and si at bottom)
ADDRESS ZONING (office use)
��- �� � c���j �� ►��j �� rz.c.� � C �,, s�
LEGAL DESCRIPTION (ofi'ice use only)
LOT BLOCK ADDITION PID ZS, 3O. O�. �
OWNER �^ f ��/ � �-
(Name) 1 I � O V�,� 1 , � Y� � � � � N N� (Phone) �o � Z. � Z� � . '.�' I l %
(Address)
BiJILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing e-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Conne ion 1 � �
CODE: ❑I.R.C. ❑I.B.C. � Mls�. WINDb1�5 � ��bl��
Type of Construction: I II III N V A B pROJECT COST/VALLTE $
Occupan�y Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have flirnished information on this application whi h is ro the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
abuve-menuoned property and that all construction ill conform to all isting state and local laws and will proceed in accordance with submittcd plans. I am aware at the building
official can revoke this permit for just cause. Furthe ore, I hereby agre that the city official or a designee may enter upon the property to perform necded mspectio s.
�1
X
Signature Contractor's License No. te
Permit Valuation 5 O �. U Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ �_ Water Meter Size 5/8"; 1"; $
State Surcharge $ �' � Pressure Reducer $
P lty $ , Sewer/Water Connection Fee # $
Plumbin P mit ee , Water Tower Fee # $
' al P r it ee Builder's Deposit $
S�� �VatQ��� it Fee . $ Other $
e
Gas Fireplac���� �. TOTAL DLTE $ 1�¢ SO
This Application Becomes Your Building Pernut When Approved Paid l R C 1 t No.
Date �_ / � B
Buildim� Ofticial Date
This �s 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 consumtes 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 (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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