HomeMy WebLinkAboutBuilding Permit 10-0854 DATE TIME
CITY OF PRIOR LAKE (�/�
INSPECTION NOTICE SCNEDULED /
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ADDRESS ("�I(Q"� `_c��s��-- I I . ,�U
OWNER CONTR. /U f1.S¢' `J �
PHONE NO. PERMIT NO. �7T��„ar-
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL � PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION ❑ MECH FINA� ❑
COMMENTS: CZ� ��'�.�.�5
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�WORK SATISFACTORY, PROCEED
❑ 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 REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTI
OF PRJp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' ;..;, x AND UTILITY CONNECTION PERMIT
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`",�tit.��,�P � ���n,�e F,�e pERMIT NO.
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a ��en�„- n�pr����
(Please e or rint and si n at bottom)
ADDRESS ZONING ���fs�<<�SE�
� '� �t, � s �' �f' � cZ � �t-v r JG� �a ��
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
i BUILDER ) ,� � � `7���,,, � � � f l / i� ) , Z�3 �' r � 7 [ �
Com an Name f�.� � �E. t.LLt u (�fE �-L Phone
� (Contact Name) ' J'� (P�one)
(Address) �6 � ,� f�/'/ � +5��0
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Pireplace
❑Addition ❑Alteration ❑Utility Connection ?
' �� o M�s� — _ '��—`���4-t_2 v� ---
CODE: �I.R.C. ❑I.B.C. �
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U I
(excluding land)
� Division: 1 2 3 4 5 ,
I hereby ecrtity that l have tiimished mfurmation un this application which is tu the best of my knowicdge true and currect I alsu cernty thar 1 am die uwner or authunzed agent for thc
� abovo-mcnuoncd properry nnd that all cunstruction will conform to all czutmg statc and local laws and will prucccd in accordancc with submittcd plans. I am aware that thc buildmg
' otficial can revuke s permit for �ust c. e Fur �rmore, [ hereby agrec that the city official ur a dcsignec may enter upon the propeity to perform needed mspecauns.
� X ���� �v � a��� G � _ �-d� y-I �
� Signature Contractor's License No. Date
Permit Valuation ��� � Park Support Fee # $
Permit Fee $ z S�., SAC # $
Plan Check Fee $ ��, Z Water Meter Size 5/8"; 1"; $
State Surcharge $ Q Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # �
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee I� Builder's Deposit $
Sewer & Water Permit Fee �$ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Ap i t o B o es Your Building Permit Wl�en Appro�d Paid ReCei t
,
� _ - _-- � ! Date B
l3uilclm�� �tici.�l )ate
This is ro certify [hat die requcst � ie abuve applic iun nnd accumpnnymg documents is in accordance with Ihe City Zoning Ordinance and may prucecd as requcs[cd. This ducument
when signed by tlie City Planner cons[rtit purary Certifieate uf 7.onmg mmplianee and alluws construe[ion to eummence. Befure ueeupaney, a Cernficate uf Oeeupancy must be
issued
Planning Director Date Special Conditions, if any
2d hour noticc fnr all inspections (9S2) J47-9850, fax (952) 4�7--t2d5
4646 Dakota Street Prior Lake, MN 55372