HomeMy WebLinkAboutBuilding Permit #13-0520 �
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �� '( " -� �
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ADDRESS � �; . � Z' � V a' ! r ��, � = �-�-�Yv'--�.
OWNER CONTR.
P3iONE NO. PERMIT NO. J,`?• '� �� �=
O FOOTING D PLUMBING Rt ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
� FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FtNAL O PLUMBING FINAL O GA�LINE R TST
0 SITE INSPECTION O MECH FINAL � `�' � '` `-"�- �
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COMMENTS:
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° '8. WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, C�ALL FOR REINSPECTION BEFORE COVERiNG
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Inspector: I ' OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQIIIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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�4 P R I��
�,� ,�� CITY OF PRIOR LAIiE BUILDING PERMIT, Date Rec'd
� TEMPOR.ARY CERTIFICATE OF ZOIVING COMPLIANCE
" �' AND UTILITY CONNECTION PERMIT ���� �-
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�r` D�C
z= ,'�°`� c � PERNIIT NO. 2
3. Yellow Applica� ` c/ � 0 / li �
�SSG OI � � flt LOLL
annxESS \ �v3 v1 V' 1 �,k�r �e,� �,v rve. � zoivnvG c �� �,
Pr � t�r Lc.�. �1V� N �' S3�la �l1 S�
LEGAL DESCRIPTION (ofiice use only)
LOT � BLOCK � ADDITION ��+Dl,{J,A� �� ^(]� � / �" � �I�/1�PID Jr .�lo7v�� a�
(N� B � � G� � �bQ�,1�.5 (Phone) l9 \Z "" °� 4 �' � �
(Address) �`�4.� 0�`� '(��rj OV "�..
HUII.DEB 1 � � � � � �
(Company Name) 1r't 11 � ''C' t�''nC�• �'� bl�'�1 p t''� S�'�'V �� bf'1 (Phone) � � ^ � � �
(Contact Name) �� C.IC_.. Z-�...VrO�'C\ (Phone) �9� a� 13s �'a.b
�aaare�) � a t� ov��� pr �,v�. �M�dtr� M N SS34� v
TYPE OF wORK p xew Consm�ction �lleck ❑Porch �te-Koofias �xesidias �L.oaa�u r.evra Kiaish � Kireplace
�Addition ❑Alteratiou ❑Utiliry Conaecnoa
CODE: �I.R.C. ❑I.B.C. ❑ Misc:
1�pe of Conatmctio�: I II III IV V A B
Occapancy Gronp: A B E F H I M H S U P80JECT COSTNALUE S S� �O C�
Division: 1 2 3 4 9 (ez land)
I heneby aA�ify tbat I have furniaLed ioPor�mtioa aai tltis applicadoa which is to qu best of my lo�owlodge nve a� cornct. I also attify tl�st 2 am t6e owaa or autl�o�ized a�nt Por tlu
abovo-mentio�d property and that all cons�ca� will confonn to a11 emsting state aud local laws aad wi71 proceed in accadance with submitted plaas. I am aware that the budding
o�icia nevoloe ffiis persitia t cause. Fuhhermaae, I haeby agee that the city oSxial � a dai�ee may enter upon Uu pmpetty to perPotm aaded inspcctiaas.
g �G (� 3S Ca(oS s/z r
5ignanup Connactor's License No. Dau
Permit Valuation Park Support Fee # $
Pem►it Fee S SAC # S
Plan Check Fee $ Water Meter Size 5/8"; 1"; S
State Surcharge S Pressure Reducer S
Penalty $ Sewer/Water Connecaon Fee # $
Plumbing Pern►it Fee E Water Tower Fee # S
Mechanical Peimit Fee S Builder's Drposit S
Sewer & Water Permit Fee S Other E
Gas Fiteplace Pernvit Fee S TOTAL DUE E
1Lia AppHwtion � Yma � Y Approved i � t NO.
L/ 31 � � ate B
J
Bu' ' Date
T6is is m cetdty that ffie request ia the above apptication and aecompaaying dacwmau is in accordaace with the Crty Zoning Ordioana sad may proeeed u mquesad. Th� docvaxnt
whea sig�xd by riu City Plaana camstituoes a oemporary Ceia&cau ot Zoning compliaace and allows eoasonutioa to commeaa. Before xcupancy, a CeraFieue of Oecupaney muu be
issued.
Plamiag Drtata Date Special Camditioos, itmy
24 6our solice €or aU ioepsetions (952) 447-9850, faz ('952) 447-4245
1646 Daloota SUaet 3.E., Prior Lake, Minuesota 55372