HomeMy WebLinkAboutBuilding Permit #13-1143 � DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ` Zc /� /� . ( .
ADDRESS = � �� -� U'� � C � C �°�� � E_ �f } C' � ��'�
OWNER CONTR.
PHONE NO. PERMIT NO. �-� - �� �"�
❑ FOOTING p PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ lNSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
,;�FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
� ❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: '��'� _ " � i'� �
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/�n-rvORK SATISFACTORY, PROCEED
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❑ CORRECT ACTION AND PROCEED _
❑ CORRECT WORIk� FOR REI ECTION BEFORE COVERING
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Inspector: , �� Owner/Contr.
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447- �0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
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o � PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v � AND UTILITY CONNECTION PERMIT ��' ��- j �
�''HHeso�'' i. wn��e F�ie PERMIT NO. /3 .-�� �
2. Pink City
3 Yellow Applicant
Please or rint and si at bottom
ADDRESS ZOIVING co�',ce use�
��7..3 ,�,li ll�%vcl ���� T�. ��,t1
LEGAL DESCRIPTION (oEFice use only)
LOT BLOCK ADDITION ��.� /,� /� L.S ���`� PID c��� l�' �`�D�
OWNER
( ame) �A-fi'N�19�/I� �-V 1�21�P (Phone)
(Address)
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BUII,D R ) � �Q� — �Z 7�h6��
any Name) ` (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addidon ❑Alteradon ❑Ualiry Conn ction
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of ConstYUCtion: I II III N V A B pROJECT COST/VALUE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I Z 3 4 5
I hereby certify that [ have fumished information on this appticatiun which is to the best af my know►cdge nve and c�rrect. I atso certily thac I am the owner or authortud agcnt for the
above-mennoned property and tha[ all conshuction wili conform to a(1 existing state and local laws and will proceed in accordanctt with submittcd plans. I am awaze that thc buiidmg
ufficial can revoke this permit for jusc cause. Funhermore, I hereby agree that the ciry official or a designee may enrer upon the property to perform necded mspections.
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Signature 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 Deposii $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTA.L DUE $ ��s
This Appiicallon Becomes Your Building Perntit When Approved p" ' Recei t No.
Da e B
Buildin � Ut�icial Dat'e •
This �s to certify that the requcst in the abuve applicahon and accumpanying documents is in accordance with the Ciry Zoning Ordinanee and may proceeA as requcsted. This document
whrn signrd by the Ciry Planner consututes a tempurary Crrtlficate of Zoning compliance and alluws construction to commence. Before uccupancy, a C�rnticare of Occupancy must be
issucd.
Pianning Director Date Special Conditions, if any
24 hour notice for ali inspections (9S2) 447-985(1, fnx (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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