HomeMy WebLinkAboutBuilding Permit #13-0350 �.�`
CIT'1� OF PRIOR LAKE r
INSPECT►ON NOTICE �.`-"- "'7--- j;� DATE TIME
SCHEDULED
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ADDRESS ��/�� ��;�-
`"""`--�-�:�' ._— L-_ < t. � r--.�' � '� �.�, .�. �..,,
OWNER h.:
CONTR.
PHONE NO.
PERMIT NO. � � . " f' ` � .
❑ FOOTING j `
❑ FOUNDATION � PLUMBING Rt ❑ EX/GRAD7FILLING
❑ FRAMtNG � MECH RI ❑ COMPLqINT
❑ INSULATION � WATER HOOKUP
O FINAL � S�ER HOOKUP � F�REPLqCE RI
C7 PLUMBING FtNAL � F � R � P �CE FINAL
❑ SfTE INSPECTION D GqSL�NE q�� TST �
CJ MECH FINAL
COMMENTS: � Y � � � � ,..__�
� ,, �._
�0 WORK SATISFACTORy� pRpCEED
❑ CORRECT AC710N AND PROCEED
❑ CORRECT WORK, CqLL FOR REINSPECTION BEFpRE COVERlNG
Inspector.
OwnerlContr:
CALL 447_gg50 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE.
CODE REQUIREMENTS,g� FOR YOUR PERSONAL HEALTH � SrlFETY,�
INSNOTI
V
04 �P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,�// % �\ `\``• �. ��G 1�
�� �% i��� y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"`��...._......... i .............\%�''' AND UTILITY CONNECTION PERMIT �
�
�
I. White F�,e pERMIT NO
2. Pink City • �� r �'��
3. Yellow Applicant
Please e or rInt and si n at bottom
ADDRESS ZONING (otlice nse)
�y`��i Ca�r�� � Li•N.— �
LEGAL DESCRIPTION (ot]Eice use only)
LOT BLOCK ADDITION PID
OW1vER
(Name) � c�:•....:,.- � B r� �o..- (Phone) 9 S.Z r y YO -��
(Address) I�IGOS' C.,�-,.;R �(...,,.� N� P••�:w L.�,.. MN SS3
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK. ❑ New Construction eck ❑Porch �Re-Roofing ❑Re-Siding OLower Level Finish ❑ Fireplace
❑Addition ❑Alteradon ❑Uriliry Connection
CODE: ❑I.R.C. �I.B.C. ❑ � /N � ����
Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE S
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cextify tbat I acn the owner or authorized agent for the
above•mendoned rty and that all construction will conform to all existing state and local laws and will proceed in acrnrdance with submitted plans. I am aware that the building
official can is permit for just cause. Furthermore, I agree that the city official or a designee may enter upon the property to perform needed ins ections.
. �
X � (
Signa re ' Contractor's License No. 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 $ � 7�
This Applic ' Becomes Your Building Permit When Approved p�d �� Recei NO,
� � . Date �/ B
�- L—
fficial Date
This is to certify hat the request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance end may proceed as requested. This document
when signed by e Ciry Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (9S2) 447-4245
4646 Ds►kota Street S.E., Prior Lake, Minnesota 55372
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