HomeMy WebLinkAboutBuilding Permit #13-930 �
DATE TIME
CITY OF PRIOR LAKE
lNSPECTION NOTICE SCHEDULED /D � �
ADDRESS L I '( S 3 cu1��� d C�
OWNER CONTR.
PHONE NO. PERMIT NO. � � --� ��
D FOOTiNG O PLUMBING RI O EXlGRAD/FILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
� FRAMING ❑ WATER WOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEYVER HOOKUP ❑ FIREPLACE FINAL
� FINAL O PLUMBING FINAL 0 GASLINE AIR TST
0 SITE INSPECTION L7 MECH FiN l. ❑
COMMENTS: � � C
� r
� WORK SATISFACTORY, PROCEED
❑ CORRECT TI N AND PROCEED
❑ CORREC R, CAIL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL _ 850 FOR TNE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY.�
WSNOTJ
�
� �,, ,, _
Q� � �
�� P R I p ��,�.�� `�� ( � /
� �� �\\ CITY OF PRIOR LAKE BUILDING PERMIT, v Date Rec'd
D �J TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � z� �3
" �' - .� AND UTILITY CONNECTION PERMIT ` �
e� k
� rNNE5o � Y �� `.ry �� f+7` �
� • 1. White File
z. P„� �, PERMIT NO. J'3 .�' �
3. Yellow Applicant
lease e or ' t and si at bottom
ADDRESS ZONING (oft use)
� T 5��a� c� �v.�� I�� ,��o� �-�eC�`�� 1 S
LEGAL DESCRIPTION (oflt'ice use only)
LOT � BLOCK � ADDITION ll,� /�` � �� � �� 1 � ��1 /�1 PID �� ' � 6 � — ��� �
� \ � � � � (Phone) �V ld�"_ � � b � l - I � 1
' �Ct.�Z ,
(Address) � �j �2.� �j�,,� �,�
BUII.,DER ���� � ` a {
(Company Name) �'� l� (Phone) � S l �� o- 9 0 ��
(Contact Name) �� e. (Phone) �"��SL
(Address) a t � e. � �[L � �b � • �3T . � �1V � � �
TYPE OF WORK ❑ New Construction ODeck ❑Porch ❑Re-Roo
fing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Connection
CODE: ❑I.R.C. �I.B.C. �Misc: '� J� w C�(�l� �h ^� ,
Type of Conshuction: I II III IV V A B � Q �D
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $�� I.�
Division: • 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished informarion on this application which is to the best of my knowledge true and correct. I also cerdfy that I am the owner or authorized agent for the
above-mentioned pmperty and that all construction will conform to all exisring state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this pe it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfoan needed inspections.
X o,� -��w ��Y I 3�St� �4� $- a �• 13
Signature Contractor's License No. Date
Permit Valuarion Pazk Support Fee # $
Permit Fee $ ` SAC #� $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $ ,
.
State Surcharge $ Pressure Reducer $ \
Penalty $ Sewer/Water Conneckion Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiJE $ �
This Application Becomes Yo uilding Permit When Approved Recei t NO.
� � j � � � ate B
, (�l
Buil ' Offi ial Date
This is to certify at the request in the above applicarion and accompanying documenu is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construchion to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372