HomeMy WebLinkAboutBuilding 11-1042 DATE TIME
II
CITY OF PRIOR LAKE SCHEDULED --- ------
INSPECTION NOTICE
ADDRESS
OWNER CONTR.
PHONE NO.
PERMIT NO. 11:710.1_1:----_
p PLUMBING RI ❑ EX/GRAD/FILLING
0 FOOTING 0 MECH RI 0 COMPLAINT
FOUNDATION ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ FRAMING ❑ SEWER HOOKUP 0 FIREPLACE FINAL
O F• INALATION 0 PLUMBING FINAL 0 GASLINE AIR TST I
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
/11101111111111M1111111111110111 li:
111111111111IIMPON11111111M - • \
i
. - 5 6I> , • til
i\\`
O WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT •..K,CALL FOR REINSPECTION BEFORE COVERING
I Owner/Contr.
Inspector.
CALL 447-.850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
01 ?I/0,.?
CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,NI TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� AND UTILITY CONNECTION PERMIT
jA'NB8o�
1.White Pile
q. Pialc City PERMIT NO. // /04-Z
3.Yellow Apphas:a
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1"70 41 Deer ,e_ DIZ Pr i 0,r- Lako_ _
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Nam) lean q �}1 I*C,,t? Mc.C. Civ t o (Phone) QS 2--'/24 0` 4 0 Z$e
(Address)
BUILDER
(Company Name) )C) &C Ifl;a uJe�S-}i -Iik(i - (Phone) 7 6,3-S?7-5 70 2-
(Contact Name) n (../1/4.)1.-n q S S (Phone)
(Address) 17-4 VI c rti.S-�\r i o..( Ut r L l V d. P'}i-s,.o x-14, Nw sst-/LJ I
TYPE OF WORK 0 New Construction ODeck ['Porch ['Re-Roofing ['Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
�q� T-A l Sola- t 6c 4°^bwla.-- s k�.1 5-14 w/
CODE: DLR.C. ill.B.C. '11 Misc: �1
Type of Construction: I II III IV V AB .c+ ra J wAtek,
Occupancy Group: A B B F II I M R S U PROJECT COST/VALUE $ / - VO
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-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 this permit for j Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x � � IA : 41 - 1.772-2-0`7 1/z
/I I
Signator �
Contractor's License No. Date
Permit Valuation oo Park Support Fee # $
Permit Fee $ ,S. 7S SAC # $
Plan Check Fee $ (�7 9t/ Water Meter Size 5/8";1"; $
State Surcharge $ /-• C° 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 $ /22- 6?
This A .tion omen Your Building Permit When Approved Paid /7 2 do Ree t No. (o4 Z Z�j
Date /b.S / BY
B ding sial 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