HomeMy WebLinkAboutBuilding Permit #13-1417 DAT6 TIME
��y pF pR10R I.AKE gCHEDULED --�—
INSPECTION NOTICE ��
ADDRESS
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CONTR.
OWNER l "� -- � �{ f r l
PERMIT NO.
PHONE NO.
p PlUMBING R► ❑ EXIGR�+DIFIL
❑ F0071NG p MECH RI O COMPLA�NT
p FOUNDATION ❑ FtREPLACE RI
p FRAMING ❑ WATER HOOKUP � F►REPIJ�CE F�NA
❑ iNSULATION � SEWER HOOKUP � GASLINE AIR 75T
O FtNAL ❑ PLUM8ING FiNAL a
❑ SITE tNSPECTiON
p MECH FINAL
COMMENTS:
. �
� ❑ WpRK SATiSFACTORY, PR�CEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC7 WORK, CALL FOR REINSPEC710N BEFORE COVERtNG
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Inspecto '
CALL 447-9830 FOR THE NEXT INSPECTION 24 HOURS � ���FET1'!
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEA�
1NSN0Ti
oF rtt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
a�NN6S��� 2. 1'in c�Y rPERMIT NO . �� _1L�� 7
3 Yellaw Applicant (
Please or rint and si at bottom
ADDRESS ZONING (ott'ice use>
�Ssa s 6r��e o�, �T'ca.:�� ��
LEGAL DESCRIPTION (ot�ice use only)
LOT BLOCK ADDITION PID
OWNER �A.'R�'I' ��.GL.� C �
(Name) (Phone) 7JO+ — 7 �1 � � �U O�
(Address)
BUII,DER � � Q- � �" 1`
(Company Name) �`tC.�fl'e,__!lJ�� E� �����f�7 (Phone) lQs� " �� `i''��� 1
(Contact Name) (Phone) � t�
(Address) � o �� �• • ��C. � � W�Q.S'�' ' 11US� � 'e � S� � �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addidon �Alteration ❑Urility Connection
CODE: ❑I.R.C. ❑I.B.C. � ��DO"� C���c. c Q..� � (�� OffV 1'�-G�'
Type of Construction: I II III N V A S p
Occupancy Group: A B E F H I M R S U PROJECT COST/ VALUE $� �� SO "�
Division: 1 Z 3 4 5
(excluding land)
1 hereby certify that [ have fumished info�mation an this appiication which is to the bes[ of my know►cdge rrue and conect. I aiso ceitify that I am the owner or authorucd agent for thc
above-me tioned property and tha[ all construetion wiit conform to all existing state and local laws and will proceed in accordance with submitted ptans. I am aware that the buiidmg
ufficial revoke this permit r � st cause- Furthermore, I hereby agree that the c�ry officiai or a designee may enrer upon the property to perform needed iatipections.
X ���aq � aof� ► 3
Signature Conuactor'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 DUE $ . 7
This Apptication Becomes Your Building Permit Whrn Approved Paid Recei t O.
Date O � B
BuilJina U1�iciai Date
This is to certify that thc requcst in the above applicat�on and accumpanying documents is in accordance with the Ciry Zoning Ordinanec and may proceed as requ�sted. This document
whrn signed by the City Planner conshtutes a temporary Certifieate uf Zoning compliance and allows consuuction to commence. Bcfore cxeupancy, a CeraCicate uf Occupancy must be
issucd.
Planning Director Date Special Conditions, if any
24 hour notice for all inspecfions (952) 447-985(1, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372