HomeMy WebLinkAboutBuilding Permit #13-0281 �
C�TY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDUlED ���fy ` '
ADDRESS 1 l�2 3� L� S ��
OVYNER CONTR.
PHONE NO. PERMIT NO. ���
_
CJ FOOTING ❑ PLUMBING Rt ❑ F�(/GRADlFILLING
❑ FOUNDATION ❑ MECH RI
❑ FRAM(NG ❑ WATER HOOKUP � COMPLAINT
❑ INSULATION O SEWER HOOKUP � F�REPLACE Rt
O FINAL ❑ FIREPLACE FINAL
❑ PLUMBING FINAL ❑ GASL� TS�
❑ SITE INSPECTION D MECH FINAL krf
f -� r
COMMENTS:
o �
�IORK SATISFACTORY, PROCEED
/
❑ CORRECT ACTION AND PROCEED
❑ CORRE W R, CALL FOR REINSPECTION BEFORE COVER(NG
Inspector: OwnedContr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOtJRS IN ADVANCE.
CODE REQUIREMENTSARF FOR YOUR PERSON,�L HEALTf/ dc S.4FETY,�
/ �� � NOTl
� G ���� k� I\� SD u�..� �
�� PR I��
,,, CITY OF PRIOR LAKE BUILDING PERMIT Date Rec'd
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f� 9 TEMPORARY CERTIFICATE OF ZONIlVG COMPLIANCE
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" � �' AND UTILITY CONNECTION PERMIT
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I. White File PERMIT NO . /\� )�/
. 2. Pink Ciry
3. Yellow Applicant s"
lease or ' t and si at bottom
ADDRESS
Z��YNG (oftice use)
1 �v `� 3�, �- °—�'� �s l� � l,
LEGAL DESCRIPTION (oflFice use only)
LOT BLOCK ADDITION p
OWNER y �
(Name) ' ' 1 � �—� � � 2 \ n S -�ft (Phone) � �� �� `T�'o� % (
(Address) �,Q a .3 �.�e. �.� � S `
BUII,DER � �` �
(Company Name) _ �'1 ri-e. f�� (Phone) �'(� �,� �`� — � ( � j
(Contact Name) 2 (Phone)
(Address) � � .S l=. x Ci�( � L.S ' l�; (� ��� �
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TYPE OF WORK ❑ New Construction �Deck OPorch ❑Re-Roofing �Re-Siding OLower Level Finish ❑ Fireplace
❑Addirion ❑Alteration �Utility Connection
CODE: ❑I.R.C. �I.B.C. �isc: � 1 4 � � f-� C�`�' ( � � � cJ
Type of Construction I II III IV V A B nn �
OccuPancy Group: A B E F H I M R S U PROJECT COST/VALUE $ ��, ./'/�, J
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correM. I also certify t6at I am the owner or authorized agent for the
above-menfioned property and that all consauction will conform to all existing state and local laws and will proceed iri acco�dance with submitted plans. I am awaze that the building
official can revoke this permi[ for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x � c��� G-�.. � _ � `
Signature Contractor's License No. �, �,3 Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # g
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # g
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ ���. $
Gas Firepiace Permit Fee $ TOTAL DUE $ �
This Application Becomes Yo�u Building Permit When Approved Paid Recei N.�
Date B
Buildin Official Date
T6is is to ceitify that t6e request in the above applicadon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. 17ris document
when signed by t6e City 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 Condi6ons, if any
24 6our notice for all inspections (952) 447-9850, fa: (952) 447-4245
4646 Dakota Street S.E., Prior Lalu, Minnesota 55372