HomeMy WebLinkAboutBuilding Permit 11-0035 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �t
ADDRESS � yZ,��
OWNER CONTR.
PHONE NO. PERMIT NO. I(' U b3'J
❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLAGE RI
� ❑ NSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
LNAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
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COMMENTS:
� � ��
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
, ❑ CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspecto OwneriContr.
CA -985 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAF�TY!
nvsnor,
o � rRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPQRARY CERTIFICATE OF ZOMNG COMPLTANCE ����, � I
� � . . AND UT�T.TTY CONNECTIDN PERMIT
�, s� �. W,,«< �,� PERMIT NO. �. OC��
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2. P�nk G�y
1 Ydlow A�giaM
Ieasc or t and si at bottom
ADDRBSS - ZONiNG tate�« ou)
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LBi3AL DESCRTPTION (oflFee ux only) '
LOT BLOCK ADDITION PID
owrn�
(Name} 1v1�f5614� �,�` 7�'IIL� �'►SEIC_-- {Phone) Ce�Z 3I�—Cs��', -
(A��} �/
BUII.DER A
{Company Name) tt'r[ o �D l �p�� (Phone� !�s �/ -� � S - A� ��
{Contact Name} �_ 1 �.'S? (Phone) � 12 5�'1 g-'g 12,2-
(Address} '
TYPE UF WORK Q ivevv Colutn�ction ODeek �Porrh Re-Roo6ng E7Re-5i� pLo�rer Levei Finish O�''u�taa
�Addition �Akeration ❑Utility Conr�ction
COD& []I.RC. []I.B.C. � M�-
Type of CoashucNw�: I II III N V A B pROJEGT COST/ VAI.UE $��7 �.�
Occuparccy Grm�p: A B E F H I M R S U
(excl�cdfng land)
Diviaion: . 1 2 `3 4 5
i freaby ataip ttat t t�aroe fi�f�d adormatioo u� this a�p1� a�ueh g to the bat of wyr k�wwtcd�r trne a� tarect. i aho aYtify thx i am the awae�r ar aotlmri�ed ageat for Ilwe
aUove-�nrntioat+A rty aud N�at �1 cans ' wi11 cnn�a ro all exist;ng state and locat taws and wilt pmooed in aocadance vrith sebmit�ed plans. I m a ihat the building
offic3ai can revoS. " just cause. rr�+e, I 6eieby agi+ee t11M Brc eitY oflicea! or a daignee zr�r a►ter npon Ux prvperiy ta pecf�m needM
x ` �e��.�'���e�._ I (
-. � ' ignatu�e Contractor's Lirense No. te
Permit ValuaEion Park Suppo�t Fee �f �
Pcrmit Fee " S SAC # S
Plan Check Fee S Water Metet Siae 5/8";1"; $
State Sur+ct�ar� $ Pnessure Reducer S
Penalty S Se�verlWater Conm�ction Fee # S
Plumbing Permit Fee - $ Water To� Fee # S
Mechanical Fermit Fee S- Builder's Deposit S
Se�ver & Water Permit Fee S Other $ �
Gas Fireplac�e Petmit Fee Y TOTAL DUI's S I
• �
This ApplieaHoa Hecomes Your Butidiag Pern� �p� A!!�d Paid • � t No. �
Date . B
;
Bllfild C?R1C1�1 D3tt �
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77i►s is to sat�j tAat the req�at in 1he abewe appTxati� and aaoa�nyiag doc�neets is ot acead�tor wN6 tlx (�p Zatiag Okdenaaae aad reay pdocad as iequ�od. 7ias dueurtxnt �
x�xn sige�d by fhe City Plamier ca�iluta a�mpara�p Certificate of Zonin� cmnpliarne and afbws consteuaion to eommenet. Befone occupaacy, a Certificau of Ootapmn�q most be
issued. j
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24 bour aotiee [or ail inspertfons {452) A47ASS9. fnx (952) 4�7-4245 _ i
4645 Dakata Street Pnor Lake. Mi�T 55372 i
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