HomeMy WebLinkAboutBuilding Permit #13-1058 �
- QATE TIARE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l0 3 c
ADDRESS ��i� 1-- � - --� i��,�_ iY1�`Jl I C' •
OWNER CONTR.
PHONE NO. PERMIT NO. / 3—/�j$
O FOOTING � PLUMBING Rt ❑ FJUGRADlFILLING
� FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMtNG ❑ WATER HOOKUP O FIREPLACE Rt
[] INSULATION O SEWER HOOKUP ❑ FIREPLACE FfNAL
� FINAL ❑ PI.UMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION C] MECH FINAL ❑
COMMENTS:
I o52 ; � ,c
�WORK SATISFACTORY, PROCEED
O CORRECT N AND PROCEED
❑ CORREC WO , CALL FOR REINSPECTION BEFORE COVERlNG
Inspector. OwnedContr.
CALL 44 - 850 FOR THE NEXT INSPECTION 24 HOURS iN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY.�
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�� �l� ,���'� CITY OF PRIOR LAKE BiTILDING PERMIT Date Rec'd
��/ ����\ � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v��I� � AND UTILITY CONNECTION PERMIT
�
`�t E 5O �
� w�,��e File pERMIT NO. _ ���
2. Pink City
� 3. Yellow Applicant
lease e or rint and si n at bottom
ADDRESS ZONING (orrce use)
�l 5��'' �c d�� Yi �Oh� I v'a � l
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER �^ . ;�,, n
(Name) �JQ � �-e�lQ� I �'�(PS (Phone) KSv " 5
(Address) ��' dGi��C.YJ � l/'Gr � � / /��OV LCc��� � ' �-
Bi.TII.,DER
(Company Name) c�Gl�lef'eV 13�''0S • (�(� dvt _�(!y e8 . (Phone) 9✓' ��7 ' `60D
(Contact Name) CC[ `� � I ✓1,S l')'!,(',�t , (Phone) 9so� �0?�7
(Address) �� � e� Q �. � G! .S 5
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: �I.R ❑�.B.c. �M�s�: ��� � I C�6t1�'[ D(�00/� DI.lA(3� I W t✓1� w,
Type of Conshucdon: I II III N V A B —�Q �
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ �%CJ��
Division: 1 2 3 4 5 (excluding land)
I hereby ceRify that I have furnished information on this application which is to the best of my knowfedge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otFicial can voke thi ermit forjust cause. urthermore, I hereby agree that the city official or a designee may enter upon the properry to perform needed ins ections
x �3�f'�lp� d o7D
ignature Contractor's License No. Date
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 Di7E $ , 7
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This Application Becomes Your Building Permit When Approved Paid ReCei t O.
Date ,Z. B
Buildin Official Date
This is ro certify that the request in the above applicafion and accompanying documents 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 construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Plauning Director Date Special Conditions, if any �
24 hour notice for all inspections (952) 447-9850, fax (952) 44'7-4245
4646 Dakota Street S.E., Prior I,ake, Minnesota 55372