HomeMy WebLinkAboutBuilding Permit #13-526 � DATE TIME
CITY OF PRIOR LAKE gCHEDULED �',_,_��,� �
INSPECTION NOTICE
_ _ � � �,�
, �;...��. �.- .�<-
ADDRESS � � -� 4 -= C "' - � � t �
OWNER CONTR.
PHONE NO.
PERMIT NO. .� � � "� �-=
❑ FOOTING 0 P1.UMBING R{ ❑ EX/GRADtFILLiNG
❑ MECH RI ❑ COMPL.A�NT
❑ FOUNDATION p FtREPLACE RI
0 FRAMING ❑ WATER HOOKUP
❑ INSULATION 0 SEWER HOOKUP O FIREPLACE FINAL
t7 FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
� r ." ( .
❑ SITE INSPECTION Cl MECH FINAL ,-.�
COMMENTS:
� >
�
[] WORK SATiSFACTORY, PRUCEED
❑ CORREC'T ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
i
Inspector:
OwnedContt:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS iN ADVANCE.
CODE REQUIREMENTSARE FOR YDUR PERSONAL HEALTH & SAFETY!
lNSNOTl
�� PRIp � �
� �'� � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" " AND UTILITY CONNECTION PERMIT � � � � /3
� ��
j `�'NE S O
1. White File pERNIIT NO . J ��
2. Pink City
3. Yellow Applicmt
lease or ' a� s' at bottom
ADDRESS ZONING �o�ce ��
4 3 cr�Ie�ood rir�K� �1
LEGAL DESCRIPTION (oH'ice use only)
LOT BLOCK ADDTTION PID
(Name) � h Y� (C/ l�Q�,C/ � C� r� OT �,� r _ _►�. _� �� (Phone) ��Z — � — f � � � ✓��
_. /
caaa�s> fx Gt ' S a) � Gt �I'1 M N
BUII.DER �n � D � �`JZ �,,3 �� I � 3
(CompanyName)1�'GV SDI� � � I/lG' (Phone)
(Contact Name) �i '� � (Phone) � I Z �� "� 2 � ��
�aaaress� ' �i ►�/ i 6 �� MN
TYPE OF WORK ❑ New Consh�uction ❑Deck ❑Porch Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
�Addition ❑Alteration �Utility Conn 'on
CODE: ❑I.RC. �I.B.C. ❑ Misc:
Type of Constrnction: I II III IV V A B
Occopancy Group: A B E F H I M B S U PROJECT COST/VALUE $ S5 � ��
Division: 1 2 3 4 5 (exclading land)
I herebY certifY q furnished ' ' �► on d�is appli<ation wlrich is to the best of my knowledge uue and correct. I also oe�tify that I am the awner or aathorized a�ent for the
above-mentioned p�d that all will conform to all e�ng state and local laws and w�71 prooeed in a000rdance with submimed plans. I am aware ttiat the building
offidal can revoke for just cau . ore, I hereby a�ee that the city offiaal o� a designee may enter upon the propeRy to pecfoim needed inspecti�s-
X ��?���1 �31
SiBoatore Contractor's License No. ate
Permit Valuation Pazk Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surchazge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Buiider's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
�
This Application Becomes Your �ilding Pernut When Approved Paid ' t No.
Date , �
Buildin O�cial Date
This is to certify that the request in the above application and aarompanying documents is in accordance with the City Zoning Ordinance aad may proceed as requested. This document
when signed by t6e City Planner constitutes a temporary Certificate of Zoning wmpliance and allows consavction to commence. Before oocupancy, a Ce�tificate of pocupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for aIi inspections (952) 447-9850, fas (952) 447-4245
4646 Dakota Street SE., Prior Lake, Mieacsota 55372
�' ��G� CD[ ( l °I5Z-�7 S -1 �°a� -�r �-�c� ��►^ -�-.