HomeMy WebLinkAboutBuilding Permit 10-1009 W1TE TIME
CITY OF PRIOR LAKE
INSPECTION NO'fICE SCHEDULED � 2Z
ADDRESS � �Z� � �c� �
OWNER CONTR.
PHONE NO. PERMIT NO. f�^� `QI�Q
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH Rf ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPIACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SiTE INSPECTfON ❑ MECH FINAL ❑
COMMENTS:
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C uw� � t i f3 �� ,
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORRECT WOR , L FOR REINSPEC710N BEFORE COVERING
Inspector: OwnedContr.
CALL 44 - 8 FO HE NEXT INSPECI'ION 24 HOURS IN ADVANCE.
CODE REQU(REMENTSARE FOR YOUR PERSONAL HEALTH Qc SAFETYf
nvs�von
oF rxl CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' � AND UTILITY CONNECTION PERMIT
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M��'NES��P I Whire F��e pERMIT NO. �
2 Pmk C�ty / v a �
3 Yellow Applicant
Please e or rint and si at bottom)
ADDRESS ��, a 1� �' S f �� r C�Q �( �, � ZONING (oefice use)
I� / I/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 4� P!T/ 1 /(Q'T' 1 p �S?���/S' IlG �
(Name) ( hone)
(Address) � 7 � � � �S � �� `� (�- ! `� �
BUII,DER THD At- HOme SCNiCe, InC,
(Company Name) (Phone)
(Contact Name) � P , Ste 300 (Phone) � 5�� 3�1 S' � 6 4 7
(Address) � D 4� l Ca ��Q�� l' 0 n� S
TYP'E OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connechon
��5�. /o �, A �o w �� � /� u m f n �s
CODE: �I.R.C. ❑I.B.C. , ,� � �
Type of Construction: I II III IV V A B pROJECT COSTNALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have himished mformation on th�s appLcahon whuh �s to the best of my knowledge true and correct I also cernfy that I am the owner or authonzed agent for the
above-mennoned properry and that all construcnon will conform to a(1 exishng state and local laws and will proceed m accordance with submitted plans. I am aware chat the buildmg
official can revoke this perm� or �us ause Furthermore, I hereby agree that the c�ry official or a designee may enter upon the property to perform needed mspec ons.
-�'�— �=�.�1—_ aba � B a s� f1 � 3 � r�
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
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 ee $ TOTAL DIJE $ /J ���
This Application B s our Building Permit When Approved Paid � Re t NO. � Z,_
Date Z, 3. i B�
Bu�idm�� tliaa( Date
This is to certify that he request m the above appLcat�on and accompanying documents is m accordance wrth the City Zomng Ordmance and may proceed ac requcsted. This document
when signed by the City Planner consntutes a temporary Certificate of Zonmg compLance and allows construcnon to commence Before occupancy, a Cerc�fica[e of Occupancy must be
usued
Planning Director Date Special Condidons,if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372