HomeMy WebLinkAboutBuilding Permit #14-91 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �,�
ADDRESS � �"� �.�_7 � / X'/ f . �' �d
OWNER CONTR. ���X
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PHONE NO. PERMIT NO. +� ''1 � �
0 FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�'`OCFINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
6 SITE INSPECTION ❑ MECH FINAI �
COMMENTS:
1
�WO�RK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
o � PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, l�, I�
v � AND UTILITY CONNECTION PERMIT
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�""� � `"h°` F��° PERMIT NO.
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3 Yellow Applitani
Please or rint and si at bottom
ADDRESS � � � � � � �' �_ r�� � /�� �_� Z �� 5 �� �ce use>
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LEGAL DESCRIPTION (oflfice use only)
LOT BLOCK ADDITION PID �S ��� �� ��
OWNE � R
(Name) �J `�/V t•�� 1� I-� roJ �( r (Phone) ` � �- 3 4 � - ��'� �
(Address) � �� � $� � � � �l � P�- �.-(Y' .� �
BUII,D j l
ompany Name) T�n ��- J��i d (Phone) �'��" �,��a ���C J
(Contact Name) _� � a � ��h, (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch '❑Re-Roofing ❑Re•Siding ❑Lower Level Finish ❑ Fireplace
❑Addition [�Alterauon ❑Uuliry Connection I � .. �
CODE: �i.R.C. ❑I.B.C. � Misc. �
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Type of Construction: I II III IV V A' B pROJECT COST/VALIJE $
Occupancy Group: A B E F H I M R, S U (exciuding land)
Division: 1 Z 3 4 3
1 hereby certify that i have fumished information on this appiication which is to the best of my knowtedge rrue and rnrrect. I also certi(y that I am the owner or author�zed ag�mt for the
above-menaoned propeity and that all construction wili conform to atl existing state and locai laws and witl proceed in accordancc wi[h submitted ptans. i am aware that the buildmg
ufficial can revuke this permit for just cause. Furthermore, I hereby agee that the c!ry official or a designee may enter upon the property to perform necded mspcetii>ns.
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Signature Conaactor's License No. Date
Permit Valuation � -� � Park Support Fee # $
�
Permit Fee I -5r � SAC # $
P3an Check Fee -L� $ � 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 �
�
Titis A a' i Becomes Your Building Perndt Wh Appro ed Paid Recei t No. �
` Date B
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B il i icial Date
7'his is to certify that the requcst in the abuve applicahnn and accompanying documents is in accordance with the Ciry Z.�ming Ordinance and may proceed as requcsted. This dixument
when signed by the Ciry Ptanner cunsatutes a tempurary CertiHcate of Zoning compiiancc and alluws const�uction to commence. Before uccupancy, a Cerhficatc of Occupancy must bc
issucd.
2�13`/�
Pl ning Di —�� Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-985(i, fAx (9S2) 447-�245
"- 4646 Dakota Street Prior Lake, MN 55372
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DOORS OVER 6'-0" WIDE REQUIRE
, . HARD SURFACE DRIVEWAYS TO -
, STREET OR EXISTING DRNEWAY
! � CITY OF PRIO� �
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DATE Z 4- PEFiMIT NO. �
� O ACCEPTED SUBMITTED
, CI ACCEPTED WITH CORRECTIONS AS NOTED
c� ❑ NOT ACCEPTED-CORRECT 8� RE$UBMIT
I � Th� commsnts are for your informatbn. All work st�aN be dorM
� �t% �C� (n �II oompli�e with all applicable buiWing 8 mning code �
hqukMnsnh induding ttems no! specilicellynoted in this nvM�
KEEP THIS PIAN SET ON SITE AT ALL TIMES
14957 Pixie Point Circle SE
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Disclaimer: Map and parcel data are believed to be accu�ate, but accuracy is not guaranteed. This is not a Map Scale
legal document and should not be substitu# ' l �- raisal, survey, or for zoning verification. 1 inch = 31 feet
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