HomeMy WebLinkAboutBuilding Permit 10-0325 DATE TIME
CITY OF PRIOR LAKE ` /
INSPECTION NOTICE SCHEDULED / ��
ADDRESS �'�� Q`� � ,��y— ,/� , ,�C� �
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OWNER CONTR. � C
PHONE NO. PERMIT NO. �� II l' ,ss
�LL� � T-�� " ° r
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASIINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: CZ� �.p��µ.,,.�'S
O l,
�7 WORK SATISFACTORY, PROCEED
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❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY.�
/NSN07!
o� pR � O R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v � AND UTILITY CONNECTION PERMIT
~ �MNESO� !
t. Whee F��Y PERMIT NO. /�_ G � ,�—
2. Pink Cit < L
3. Yellow Applicant •J
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ADDRESS � -7 � / .y ' � ZONING �or�re �u�
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDTTION PID
OWNER � p —
(Name) , �C'� � � ��C'� r �G� �� l � !f/ ; I� rclt/1 (Phone) � �� � � 0 d � / � �
(Address) � . �/1 �l'C� t l � � I
BUILDER ` � C 7
(Name) � �f f �1'��. ! i� �C'�'L'�r°� e) �f� � l 794
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(Contact Name) _ /��^ c- �[ ��,Z r^.f�'cnn (Phone)
(Address) � C � /I n
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TYPE OF WORK ❑ New Construction (�7(Deck ❑Porch e-Roofing ❑Ro-Siding
❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteraoion ❑Ucility Connection
❑ Misc. PROJEC'T COST/VALUE (excluding land) S � (�
I hereby ceitify that I have fumished informauon on this applicaaon which is to the best of my 3rnowledge true and correcc. I also certify that I am the owner or
authorized agent for the above-mendoned property and that all consavction will confotm to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby ag�ee that the city official or a designee may
enter upon the property to perform needed inspections.
X ��` ra C� S�l-1 C:�
Signahue Contractor's License No. Date
Permit Valuation Park Support Fee # �
Permit Fee $ SAC # $
Plan Check Fee S Water Meter Size 5/8"; 1"; a
State Surcharge $ Pressure Reducer $
P��tY $ City SAC and WAC # E
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee S Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Buiiding Permi[ When Approved Paid -()L` Recei t N Q%
DateS � � B _ �'�
Building Official Date
This is to certify that the request in the above applicaaon and accompanying documents is in accordantt wiffi the City Zoning Ordinance and may proceed as requested. 'R�is document
when signed by the City Planner mnstitutes a temporary Certificate of Zoning compGance and allows conmuction to mmmence. Before occupancy, a Certificate of Occupancy must be
issued.
Plam�ing Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4?f35
16200 Eagle Creek Avenue Prior Lake, MN 55372
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