HomeMy WebLinkAboutBuilding Permit 10-0883 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 'i
ADDRESS � �U � �� .
OWNER CONTR.
PHONE NO. PERMIT NO. � l Q��
❑ FOOTING 0 PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: ���
a �c��
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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0 � P R Ip� �
� � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" `� AND UTILITY CONNECTION PERNIIT 'v
e �
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1 Wlute File pERMIT NO . ' 11�� ��
2 Ank Csty �/
3. Yellow Appficant
ease or and s' at bottom
ADDRESS � � ��_ ZONING (ot&ce use)
� U �
LEGAL DESCRIPTION (offic.�e use oniy)
LOT BLOCK ADDITION PID
OWNER 1 ,� C �
(Name) _,� p,. ��(' I(� � l? � C 1\ W�1 Y� e C k, (Phone) ���— 1 q��
cAaa�s� Sy U( C iG1 S S—
BUII.,DER (J a
(Company Name) �'� �l1 Se � � � � Y�n �- i�l �, (Phone) 'f � (J� — 3� Y�
(Contact Name) (� � �(�Q (Phone)
(Address) � � �
TYPE OF WORg ❑ New Consavction ❑Deck �Porch -Roofmg �Re-Sid'mg ❑Lower Level Finish ❑ Fireplace
❑Addition �Alteration ❑Utility Connecti
CODE: �I.B.C. ❑I.B.C. ❑ Misc:
1�pe of Con.sfnu.tion: I II III N V A B
Occapancp Gmnp: A B E F H I M B S U PROJECT COST/VALUE s
Division: 1 2 3 4 5 (exclading laod)
I hereby aettify that I have fittnished iafotmation on this application which is to the best of my knowkdge uue and correct. I also a.�tify that I am the o�wner a� authorized agent for the
abwe-menlioned properry and that all oonstxuc� will cont'orm m all exisdng state and local laws and will proceed in accordance witl► submitted plaos. I am aware that the building
official can oke this permit for j cause. �rthermoze, I hereby agee that the city official or a designee may enter upan the propesty to perform needed inspecti�s.
x `�r�`� /u / `� //D
Signamre Contractor's License No. Date
Permit Valuation Z �j Pazk Support Fee # $
Permit Fee $ ? 5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ _. u v Pressure Reducer S
Penalty $ Sewer/Water Connection Fee # $
Plumbing Pennit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer 8c Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $'� �'7 S
zLis .a.pplication � ota suitaing Permic when appmveu Paid R�e t No.
� Date O�I ( o B
(d-o�-(--60
uilam Official Date
'ILis is to cerrify that the request m the above application and accompanying documents is in a000rdance with the City Zoning Ordinance and may proceed as requested. 'Ihis dcxument
when signed by the City Planner oonsticuces a temporary Certificate of Zaning compliance and allows consuuction to oommence. Befine oavPancY, a Certificate of Oavpancy must be
isstted.
lannin Director Date Spaaal Condi6�s, if my
24 hour notice for all inspections (952) 44'7-9850, faa (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372