HomeMy WebLinkAboutBuilding Permit #14-95 DATE TIME
CITY OF PRIOR LAKE _/
INSPECTION NOTICE SCHEDULED 3 Z< <`►`
ADDRESS �C' �s �w.,c�`- V c 'C`t' G�-�
OWNER CONTR.
PHONE NO. PERMIT NO. �� — ��
❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPIACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS• i 'y� , ;,' �.\�_�(�'`,'���
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� I � ON 6 ��
d [9 �
� WORK SATISFACTORY, PROCEED
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❑ CORRECT ACTIAri AND PROCEED
❑ CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-5850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFF.TY!
INSNOTI
�F pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ., ��� ��
�' � AND UTILITY CONNECTION PERMIT �' '
U
� i wnr�� F�i� pERMIT NO . /� �
2. Pink City �
7 Ydiow Applium (
P ase e or rint and si at bottom
DRESS /� 7 G� �. l4 n a� � � ZONING (ot�ce use)
� ! � c.� Q� /V GJ
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
O WNER
(Name) �! Ci n � 1' � � (Phone) _ L �•? � 8 n � • 3� d 'S
(Address) / "r T �. Q � �
BUII,DER Pella Northland
(Company Name)_ 15300 25th Ave N. Ste 100 (Phone)
(Contact Name) _ plymouth, MN 55447 (Phone) � S� �y S' L � y 7
(Address) Lic # BC645090 Ph. 763/745-1400 Ju d
TYPE OF WORI� ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connecrion � Misc. $ V�^ a/ V r� P �a u r� � � �•/
CODE: ❑I.R.C. ❑I.B.C. 1 xl �� pRrpJEC��C S I'S . 43 q
Type of Constiuction: I II III IV V A B (excluding land)
Occupancy Group:. A B E F Fi I M R S U
Division: 1 2 3 4 S
1 hveby certify that i have furnished mformation on thu application which is to the best of my lmowledge true and correct. ] also cettify that 1 am the uwner ur authonzcd agcnt for thc
above-mennoned propeny and thac all c ns ction will conform to all exuting s[ate and local laws and will proceed in accordance with submitted ptans. 1 am aware that the building
ofTicial can revoke this psrinie for just ca e rc}termore, I hereby agree that the ciry officia! or a designee may enter upon the property to perform needed mspecnons.
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� sc c.ysoqo � r3 ry
Signature Contractor's License No. Date
Permit Valuation Park Supporc Fee # a
Permit Fee $ SAC # S
Plan Check Fee S Wata Meter Size 5/8"; I"; a
State Surcharge S Pressure Reducer a
Penalty a Sewer/Water Connection Fee # S
Plumbing Permit Fee $ Water Tower Fee # a
Mechanical Permit Fee S Builder's Deposit a
Sewer & Water Permit Fee S Other $
Gas Fireplace Permit Fee S TOTAL DLIE s'
This Application Becomes Your Building Pern»t Whtn Approved PSid Re I[ 1�T0.
Date � _ 1 B •
Buildin Utticial Date
T'hu �s to certify tha� che request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proeeed as requ�sted. 1'his dixament
when signcd by the Ciry Planner consututcs a temporary Certi6cate of Zoning compliance and allows consWCtion to commence. Before occupaney, a Ccrtificate of Occupancy must be
issued
P1 �� 8 ��� �� Special Condidons, if any
24 hour notice tor all inspections (952) 447-9850, fnx (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372