HomeMy WebLinkAboutBuilding Permit 11-0512 DATE TIME
CITY PRIOR LAKE
e84411- IN INSPECTION NOTICE SCHEDULED
ADDRESS 318 Q4.kX7"a,
OWNER CONTR.
PHONE NO. PERMIT NO. 11 - 572
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH INAL ❑
COMMENTS:
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WORK SATISFACTORY, PROCEED
ORRECT ACTION AND PROCEED
❑ CORRE • • - ' , CALL FOR REINSPECTION BEFORE COVERING
Inspecto i 1 Owner /Contr.
CA 7 I FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R • 1 UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
-9. 75
i
4 P 12/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A, : , w� ,:- t - TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� x AND UTILITY CONNECTION PERMIT 6. ZO . /
I r,
4' I White File
1 Pink City PERMIT NO. # J .T. " / Z
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
31 85 Ste/ ea■ill. Pt . /v. CA.) _
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 0 (Name ) g a e \ i' l l ) / �i i
(Name) (Phone)
(Address) 5 ,q- v
BUILDER •
<�
(Company Name) S�f (Zia(s -f.4t e %.' 57124.4-ptly.-) S ✓ (Phone) /S —/ 91 7
(Contact Name) — 174NNkS IS (.44.05 (Phone) SiQr -/,£
(Address) c\ 0 . g Y to(., $ Pg./0 X G 4741 m _ST 3' i z
TYPE OF WORK 0 New Construction ['Deck (]Porch e- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
DAddition DAlteration ['Utility Connection 0 Misc. q�
• CODE; ❑I.R.C. DLB.C. PROJECT COST /VALUE $ / 000
Type of Construction: I II 11I TV V A B (excluding Iand) )
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 l
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the
a bove - property and that all str conform all exis st a nd l ocal laws pro accordance with submitted pla I am aware that the building
of i " can revo this p t for just cause. con Furthermore will , I hereby to agree that the city official or a designee and ma will y enter ceed up on the p ro p ert y to per form neede in spections .
x ZDyoz(SY C. /u1/( .
Signature Contractor's License No. Date
Pettit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; I"; • $
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 $ ' 71
4. l -
This Application Becomes Your Building Permit When Approved Paid 7 �I Re �
/ t No. (4'..:5 / 2-,E)
Date (, :4
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
16200 Eagle Creek Avenue Prior Lake, MN 55372