HomeMy WebLinkAboutBuildingPermit 10-0995 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �3 aa l
ADDRESS ` � ��}p , �,` �
OWNER CONTR.
PHONE NO. PERMIT NO. �b_ 9��
❑ FOOTING � PLUMBING RI ❑ FJUGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
Q� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS R
�
� w ��
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
C LL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
oF prt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ��' � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE •� Z g ��
� `�' AND UTILITY CONNECTION PERMIT �
� T
M. �,��n,�e F,�e pERMIT NO.
z. rink ciry �
1 1'ello�r Applicant
(Please e or rint and si n at bottom)
ADDRESS ZONING c����� ust>
� t � 3a� � e-C�. � .�
LEGAL DESCRIPTION (of�ice use only)
LOT BLOCK ADDITION PID
OWNER a �� ,�, S�O/�+ �4.5 I—el�'
(Name) � �Phone> 9�a- a-� �- 7 3 s�
(Address) � � �� S '✓� � � � � � i
� BUILDER � � Q � � � !a �� 3 ���/
(Company Name) � � � � �R (Phone) �b
� (Contact Name) � � ,�'j►'�� (Phone) C' f S -- 7� �
(Address) �i� �X� s p� �� �/G� s�' • LOt,( �$ �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch �2e-Roofing ❑Re-Siding ❑I..ower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Connechon
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. __ _ — — — — —
Type of Construction I II III N V A B /C d �
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $(O!�
(excluding land) I
� Division: l 2 3 4 S ,
� I hereby certity that 1 have hirnlshed mtixmatiun on this applicatiun which is to the hest uf my knuwledge true and currect I alsu cerufy that 1 am thr uwner ur authunzcd agent fi�r the
� abovo-mcnuoned property and that nll cunstruction will cunform to all cxisung statc and local laws and will procccd in accordancc with submutcd plans- 1 am awarc that thc buildmg
utTicial can re � e this permit for�ust cause Furtbermore, I hereby agree that the ciry official ur a designee may enter upon the property to perform necded mspecnuns.
� X �t���.- GC.�.� �°� — �°� a���d -
Signature Contractor's License No. 1)ate
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 Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Pdid , 7.f ReC i No. G
Date O_ � : (� B
� Ruildins Ufticial Datc
This is to certify that thc request �n the abuve applicauon and accompanymg documents is in accordance with the Ciry Zuning Ordinanee and may prucecd as requcsted. Th�s ducument
when signed by the City Planner constitutes a tempurary Cenificate of Zoning compliance and allows cunstruction to commenee. Befure uccupnncy, a Cerhficate uf Occupancy must be
issucd
Planning Director Date Spccial Conditions, if any
24 huw noticc for :�II inspcctions (9�2) �1�7')850, f:�x �9�2) �1�7-�2�5
4646 Dakota Street Priar Lake, MN 55372