HomeMy WebLinkAboutBuilding Permit 10-1070 D TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7 � ����
ADDRESS �'�.�`-' ,.��� ���(2 ���G.
OWNER CONTR.
PHONE NO. PERMIT NO. L�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
O FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL �Z� � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: � ,�-�--,� s�= .�:,
LLos� �(L�
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W LL FOR REINSPECTION BEFORE COVERING
Inspector. neNContr.
CALL 447-985 NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
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oF PRlQ� CITY OF PRIOR LAKE BUILDING PERMI'T, Date R �'d
� � TEMPORARY CERTIFICATE OF ZO1vING COMPLL4IVCE
�' � . AND UT7I,ITY C�NNECTION PERMIT '
U �
��'VNES�'SQ' i. wn;�� �� PERMIT NO . /!1 /� ✓l� �
2. Pink Ci�y
1 Ydbw AppSoM J� V-
Please�ye or prInt and si at 6ottom
ADDRESS ZOIVING (atei« ose)
�� � � (� ve�/vok �;� S��
LBGAL DESCRTPTION (ofice use only)
LOT BLOCK ADDITION PID
OWNER n ] Il
(Name} J �/ i�! n K.UIC(� (Fhone) ��a -�� 6 `��J — �
(Address} �� �
BUII.DER
(Company Name) .�rl CK s'on �U i J c�i n a� C. (Phone) b s�- a y� - 9�3 9
Lee � bs�- ao6 - �39
(Contact Name} � � ksvn (Phone) y
{Address) v �d (� �,� GY d I/�°. l��(�-L' O v /U S�/ o�S
TYPE C7F WORK ❑ New Construction ❑Dcck ❑Pomh �Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Pirepiace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
TyQe of Constrttction: I II IIT N V A B pROJECT COST/ VALUE $ �U�� ��
Occupancy Groc�p: A B E F H I M R S U (�dading land)
Division: - 1 2 3 4 5
t hereby ceRity that [ have fi+mished inlmmation on this application which is to the besF of my knowltdgc tn�e and torrect. 1 also certify that t am the uwner or anthurizcd agcnt for Ihe
above-mrntioned prope and that all cons�cuction will contorm �o aU exist+ng state and loca! taws and will yroceed in accordancr with submitied plans. I am awam that the building
oHicial can revok ss perm! or just cause. ror� �ereby agree that the city �ciaf or a designee may rnter upon the properiy lo perform needed mspections.
X � � 2 ol 9 s� a 9___ _ ii- �-�o
- ' Signaturc �' �- Contractor's Liceose 3�Io. Date
Permit Valuation Park Support Fee # $
Permit Fee " $ SAC # S
Plan Check Fee $ Water Meter Size 5/$"; 1"; S
State Surcharge � Pressure Reducer $
Penalty � Se�vedWater Connection Fee # S
Plumbing Permit Fee � Water To�ver Fee # $
Mechanical Permit Fee � Builder's Deposit $
Se�ver & WaterPennit Fee S Other $
Gas Fireplace Permit Fee S� TOTAL DUE S�J y�J'
f
Thts Applicatlon Becon�es Your Bullding Pemut tiVhen Approved Paid � Recei ' No_ / '
Date ' ! , � `� B � '
Buitdin Utiicial Date
'Iti�s ic to ceRify that the request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinaner and may praceed as rcquested. 'fhis dueument
�vhen si�ned by the City Planner constitutes a temporary Cr�tificate oF Zoninb compliance and altows wnswction to commence. Brture occupancy, a Certificate of Oaupaney must be
issued.
Planning Direttor Date Speciel Condilions, if an
� 24 hour noticc [or all inspections (952) 447-985fl, fa�c (952) 4J7-4245
4646 DakotA Street Prior Lake, MN 55372