HomeMy WebLinkAboutBuilding Permit #14-062 DATE TIIAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � (
ADDRESS �,S
OWNER CONTR.
PHONE NO. PERMIT NO. � �-� ��L
� FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS: ��,�..,,.__,� (,(,� �i
�
S l�tl o�S o �
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
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o � PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ���L—
AND UTILITY CONNECTION PERMIT � 2
U �
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'�'��Heso�h �. wn��e F�ie PERMIT NO . /� "` `-1-
2 Pink City
3 Yeliow Applicant
Picase or rint and si at bottom
ADDRESS ZONING (ot�'ice use>
IS 3LI lo �a�le.s �.;c�g�e. N. w�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID �`"� ` �� Z " • � � � • U
OWNER �� ►�.\ � lA5 5a71� (Phone) 9 � � " �� �'" '� � SO
(Name) 1
(Address)
BUII.DER � Q � \ '�,�. '-c'
(CompanyName) `�C.-h'�.C.�_Y� i�.7�-1 �'�Y�►��� _ (Phone) �" " �_v_�
(Contact Name) (Phone) t
(Address) t � � � (��Q ` �1� �� �
TYPE OF WORK ❑ New Construetion ❑Deck ❑Porch ❑Re-Roofing Re-Siding ❑Lower Level Finish ❑ Firepla n
❑Addition ❑Aiteration ❑Ualiry Connection �` L� ��� �O i.t3S W /� �
CODE: ❑I.R.C. �I.B.C. ❑ Misc. �Q[YC• S� v� ��Q/`(�i!'�L�Q .
Type of Construction: I II III IV V A B pROTECT COST/VALUE �
�� �0�"3 °o
Occupancy Group: A B E F H I M R S U (exciuding land)
Division: 1 2 3 4 5
1 herrby certiFy that [ have fumished information un this application which is to the best of my knowicdge true and correct [ aisu certify that I am the ownrr or authonzed agent for thc
above-menUO ed propecty and thac all consnuetion wili confurm to ati existing state and locai laws and witl proceed in accordancr wi[h submltted plans. I am aware that the buildmg
utl`icial can oke lhis permit for j c c use Furthe�more, I hereby agree that the ciry off iai or a designee may enter upon the property to ptn'form necded mspecciuns.
X �c1�C�R83 a�an �y
Signature Contractor's License No. Date
Permit Valnation 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 # $
Mechanieal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ �� 7,j
This Apptication Becomes Your Building Permit When Approved Paid � Cei t No.
Date Z� � �
BuiiJina Otliciat D�ue
This u to certify that thr requcst in the abuve applicauon and accompanying documents is in accordance with the City Zoning Ordinance and may pn�cced �.+ requ��cted. 7'his dexument
when signed by the Ciry Planner camntutes a tempurary Certificate of Zoning compliantt and allaws cansiruction to commence. Before cxcupancy, a Ceruficue of Occupancy must be
issucd.
Planning Direcwr Date Special Conditions, if any
24 hour noticc for all inspections (952) d47-985Q, fnx (95Z) 447-4245
4646 Dakota Street Prior Lake, MN 55372