HomeMy WebLinkAboutBuilding Permit #13-340 l./ •
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ��,�-- /�
ADDRESS � �:� � ,�-� i ) � �� �=, � .1 �... � - "�.. .
OWNER CONTR.
PHONE NO. PERMIT NO. p��� -' '-� %,;�
0 FOOTING � PLUMBING RI ❑ EXtGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WA7ER HOOKUP ❑ FIREPLACE Rt
❑ INSULATION O SEVYER HOOKUP ❑ FIREPLACE FINAL
O FINAL � PIUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FtNAL F3 •: _- n.. �,.��..--.
i �� � _..�
COMMENTS: �
❑ WORK SATISFACTORY, PROCEED
O CORRECT AC710N AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 NOURS IPl ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �C SAFETY.�
INSNOTt
�� PRIp �
�� CITY OF PRIOR LAKE BUILDING PERMIT, ate Rec' d
�' .� �� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"\� �i �' AND UTILITY CONNECTION PERMIT
�
�
I. White File pERNIIT NO . �
2. Pink Ciry � � � J1
. 3. Yellow Applicant (,�
lease or ' t and si at bottom
ADDRESS ZONING (ot�'�ce use)
� � � � Y� � S
LEGAL DESCRIPTION (oflFice use only)
LOT BLOCK ADDITION pID
OWNER
(Name) �� J S 4 h a (Phone) t� ra ��� � 2. Z�'''
(Address) � "' S' �--
BUII..DER S Z —
(Company Name) .� C— � - e�. �Z Q r�-� , (Phone) 2 � � "-' � �p � �
(Contact Name) � c� cL� (Phone) �i .� d "d `7 � � � �
(Address) � J� sL� � c a c� ��' � a � I�1.� S�3
TYPE OF WORK ❑ New Consuvction ❑Deck QPorch ❑Re-Roofin
g ❑Re-Siding �Lower Level Finish ❑ Fireplace
�Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. �I.B.C. � � ` � csz `Z. L� � �o � ..�
Type of Conshuction: I II III N V A B ��
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ � 3 � �l a.� .
Division: 1 2 3 4 5 (excluding land)
I hereby cer[ify that I have furnished informadon on this application which is to the bes[ oF my knowledge true and conect. I also certify that I am the owner or au[horized agent for the
above-menfloned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaze that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city ofliaal or a designee may enter upon the property to perform needed inspections.
x � �---.� C� � � � - � � � a 3 S 3 EQ � �'� - 07�3 'L �
Signature Contractor's License No. Date
Permit Valuation Pazk Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8°; 1"; $
State Surcharge $ Pressure Reducer $
Penalry $ 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 $ rl �
/
This Applicarion Becomes Yoiu Building Permit When Appmved P1id ReCel t O.
. Date r B �
Buildin Official Date
This is to certify that the request in the above applicadon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consrituces a temporary Certificate of Zoning compliance and allows conswction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning D'vector Date Special Conditions, if any
24 honr notice for all inspections (952) 447-9850, fa= (952) 447-4245
4646 Dakota Street S.E., Prior I.ake, Minnesota 55372