HomeMy WebLinkAboutBuilding Permit 10-1016 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 �2�/
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ADDRESS I � 2CQ,� `--�'���� ��c-1C,
OWNER CONTR.
°HON� �:.^,. PERMIT NO. �� — �()� �D
❑ FOOTING O PLUMBING RI ❑ EX/GRADlFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: (� p��
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c.n r � � �--�'� s�; �
�WORK SATISFACTORY, PROCEED
❑ CORRECT CTION AND PROCEED
� CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CA L -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
WSNOTI
O F PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ��� = r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� �' AND UTILITY CONNECTION PERMIT
U T
"�,�N�SO�P � W�„�e F,�� pERMIT NO. �
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(Please e or rint and si n at bottom)
ADDRESS �� a � L ����� �� ��� ZONING c��re�< <�5�>
LEGAL DESCRIPTION (of(�ice use only)
LOT BLOCK ADDITION PTD
OWNER ��� � � �dO Y7�-
(Name) (Phone) /�a' u���O7�1
(Address) �lOo�-lo� �i�1�l�L� /� ��
� BUILDER ^ 3 ��/�
(Company Name) �Ct �a��� (Phone) �l� �a 'f
i (Contact Name) �r1 �'�,�— (Phone) �.��= ! �� �a�
(Address) �� �0 �,C��SlOr �V� J�7' - LUL[ /t✓`� � h S''� ��b
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch �e-Roofing ❑Re-Siding ❑Lower Le��el Finish ❑ Pireplace
❑Addition ❑Alteration ❑U[ility Connect�on
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. _ _ _ -- -
Type of Construction: I II III IV V A B 1 o0
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ Ir�.�O
(excluding land)
� Division: l 2 3 4 5 I
i 1 hcrcby ccrtity that 1 havc turnishcd mformation un this applicatiun which is tu thc hcst ul my knowlcdgc truc and currcct I alsu ccrtity that I am �hc uwncr ur authur¢cd agcnt fi�r thc
� ab�ive-menhuned pruperty and that all constructiun will cunti�rm to all existmg state and loca] laws and will proceed in accurdance with submittcd plans- I am aware that the buildmg
ufficial can �evoke this permit for �ust cause Furt ermore, I hereby agree that the ciry official or a designee may enrer upon Uie propeity to perti�rm n�eded mspecuuns
I x di�nt� ���,�' /OSU _ /��/O
Signature Contractor's License No. I�ate
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/S"; 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 Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Pdld Rc°CCt C NO
Date B
Buildme Utticial I)ate
This is to certify that thc request in the abuve applicauun anA accompanymg documents is in accordance with the Ciry Zuning Ordinance and may prucecd ns requcsted- Th�s ducument
when signed by the Ciry Planner cunsn[utes a tempurary Certificate uf Zonmg compliance and alluws construction to commence. Befure uccupancy, n Cernticate uf Occupancy must be
issucd
Planning Director Date Special Conditions, if any
24 hour noticc for all inspcctions (952) �1a7-98�0, fa� (952) a�17-�2a5
4646 Dakota Street Prior Lake, MN 55372