HomeMy WebLinkAboutBuilding 11-0805 DATE TIME
CITY OF PRIOR LAKE SCHEDULED ti) ---
INSPECTION NOTICE 10
ADDRESS 5400 °I'
OWNER CONTR. _ _--_ --
PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUPREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0❑ FIPINE AIRE F TSL
❑ FINAL 0 PLUMBING FINAL 0
iI
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
CUM ii
11P-311111 1,
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT •- • ALL FOR REINSPECTION BEFORE COVERING
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Inspector: — Owner/Contr. i
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! i
1NSNOTI
o PRIO d CITY OF PRIOR LAKE BUILDING PERMIT, Date Rt
4
�� �,�� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
``t AND UTILITY CONNECTION PERMIT
1. White File PERMIT NO. // 4 ��
2. Pink City ` / //
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
500 Z- Wes--).- OA-11_ for WI" --DiP---
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)LIEN C', l� Z.41207 (Phone) 952-855- g7t5.3
(Address) 500 Z tiES / O/^tL Po(/d ( De, 1'g-/ee_ �--Z�/ lY 5537
BUILDER e_t_d , ,,T0,.....,
w� �,� s �5Z-43 3 C�3(Company Name) (Phone) ' '/---
(Contact Name) 1 �% i� (Phone)957' 93 t-(/qiL�`l'
(Address)✓ /3g H*/�� ,c-C.CJe_zap s-7 Lo--1,t(S pAii.,•/.."74 55 T 2.12
TYPE OF WORK ❑New Construction ['Deck ['Porch DRe-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace
❑Addition ['Alteration ['Utility Connection A
CODE: ❑I.R.C. ❑I.B.C. IA Misc: ZACC. % ill ,J C i, 11.1AJ LI
Type of Construction: I II III IV V AB tST' "'J C7, UP€N'4 44
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 3 Y Z.2._
Division: 1 2 3 4 5 (excluding land)
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-mentio ed property and that all construction will conform to all existing state and local laws and willproceed ino accordance with submitted plans. I am aware that the building
official canoke this permit for j t cause. Furthermore,I hereby agree that the cityofficial ora designee may enter upon the propertyto perform needed inspections.
X f32 o 2062382-77 7-Z5- f(
Signature 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 $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid V, - .' ceipt No. 630p
Date , i4.,
•
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 S.E.,Prior Lake,Minnesota 55372