HomeMy WebLinkAboutBuilding 11-0420 DATE TIME
CITY OF PRIOR LAKE 04°'INSPECTION NOTICE SCHEDULED
ADDRESS L(070 (jc tet. N I CQ
OWNER CONTR.
PHONE NO. PERMIT NO. `1_ '(&
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC K,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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o f PRro� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U
4,8NES01P I. White File
2. Pink City PERMIT NO. 1 1 —.,-Z 0
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
ft)70 6r - -/rilwcia J 71-*/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER r ---r
CAC-
/ 1
(Name) /171./( --/171./( -- �-�'Cv�/�, fik*--' (Phone)
(Address)
BUILDER r— /0‘/Li
75"0- �-r�
(Company Name) �-� A-le+•i ,1/ e / � Ref'?1342‘...4:::72. (Phone) y3 T'7 °
(Contact Name)/y�a A7 pi Yl��''�� ,, /(Phone)
(Address) ��C�p /7/��c� 5-6 vim -, "v 475-7_
TYPE OF WORK ❑New Construction ['Deck ❑Porch Eke-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ['Utility Connection —� "D
CODE: R.C. ❑I.B.C. ❑Misc. liJ5Pog.4. Ivo, �r44A�l� -ta-
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU
PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
l
I hereby certify that I 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 re 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 a o s94‘a a G '7 /. .2,./-- /7
Signature Contractor's License No. Date
Permit Valuation
c--°C)'
- Park Support Fee # $
Permit Fee $ 2 •� SAC # $
Plan Check Fee $ ( Water Meter Size 5/8"; 1"; $
State Surcharge $ , Pressure Reducer $
•Penalty $ Y 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 $ 4-f
r r 'T�IgI ,
This i,,lication
• ,.n+es Your : ' ••':g Permit Wh Appro ed Paid j.7 Receipt No. 67—C�Z
DateBy
ate
This is to ce'ify that 4e :.uest in the above application and accompanying d. uments in accordance with the City Zoning Ordinance and may proceed as requested. This document
when Signe, '.y the C4�', '1 n er constitutes, ••.orary Certificate of Zoning omplian e and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued )
. AA 4,4/ Z S i 1
Planning Direct, 1:to Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372