HomeMy WebLinkAboutBuilding 11-0105 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / G ( , --
ADDRESS 2
OWNER CONTR.
PHONE NO. PERMIT NO. 11:::":_(S2.51_____
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING CI WATER HOOKUP
❑ FRA0 FIREPLACE RI
0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ FINAL FINAL ❑
❑ SITE INSPECTION 0 MECH
COMMENTS:
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O WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
u+SNOTJ
of PRI,,(?, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�� Z ( I
AND UTILITY CONNECTION PERMIT ��
U 4
4'A'NESO1P I. white File
2Pink City PERMIT NO. /f /D
.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS i ZONING(office use)
L'I 74)21/1 tvei-nut Lunt)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER y �] ,W)01.Iii l \J\1f\/ f (Phone) 6152 12LP 1 70L1
(Address) L v v' C ytti tw- anti,& WIDr'
tL ,vl
BUILDER
(Company Name) 11:1)Kf—iki
C C�t I 1 . ,VilllOy (Phone) 1 51 ! !1/qg 2.2
(Contact Name) L (Phone)
(Address) xos (n �if) DI( WI
o,r) i,1.+ 5'(,2
TYPE OF WORK ❑New Construction(/"y❑Deck ❑Porch ['Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace
['Addition ['Alteration ['Utility Connection f f ' �/ ( 011 \1 ( \
CODE: I.R.C.❑ ❑I.B.C. ,,ErMisc. 1, 11 IVU J J Rah 1 i J
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 2)'
(excluding land)
Division: 1 2 3 4 5
I hereby certify that a e 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 . ope and that all co s -action 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 - i .ermit forjus cau firth•rm,'e,I here.y agree that the city official or a designee ma enter upon the roperty to perform needed inspections.
X 2O � 31,5 ? It/ ii
Signature Contractor s License No. ateD
Permit Valuation ' Park Support Fee # $
Permit Fee $ 7 �^ 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 $
This Application Becomes Your Building Permit When Approved Paid 7/, IJ/ Re ipt No. ` 7,i d7,C
Date 1.-, ZZ,0 B ,
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