HomeMy WebLinkAboutBuilding Permit 11-0296 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5Ji
ADDRESS SQ ?Ca hop_ %-
OWNER CONTR.
PHONE NO. PERMIT NO. I 1 — 25(a
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
-E FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION nn ❑ MECH FINAL ❑
COMMENTS: Kt roof
C I °Se_ 4 ��C�
/o EAc Ri5 A1-,
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC 0 / � ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Jr Owner /Contr:
I
CAL • •7 '850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
�� PRIO
,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4
,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�
" _..._....... `� AND UTILITY CONNECTION PERMIT d c. l LS- l �'NES��
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1. White File
2. Pink City PERMIT NO. t 1 _ 21 6
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
.507 Itpe &reef SSE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER £Q ph / / h /t ?h9 (Phone) O a - - /o ? 7(
(Address) W 7(0 ftpe , s /"/Jot LaKe /2) .
(Co /Yet) x DER
(Company Name) ////// Cor�cti�9 Mc • (Phone) �D' - ��� 3��°�
(Contact Name) IaAbe ij d9 n (Phone)
(Address) ee/T (j /4'44 e - lS7 / 'C/ MO • 55105-
TYPE OF WORK ❑ New Construction ['Deck ['Porch Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III 1V V A B /„ 50 /y)
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ (/v
Division: 1 2 3 4 5 (excluding land)
I hereby certify 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
4 above - mentio operty and that all constru tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offici. . 141 ■ , pe • t for s s use. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform need i nspections . fi
_11.4
r:'!A re Contractor's License No. Date
Permit Valuation 7 d V Park Support Fee # $
Permit Fee $ •7 Lit-7 S SAC # $
Plan Check Fee $ / Water Meter Size 5/8 "; 1 "; $
State Surcharge $ c,du 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 $ 79t 7 5
7
• Application Bec mes Your Building Permit When Approved Paid h Receipt No. Z. S
Date (}" ^2 ( By 3
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