HomeMy WebLinkAboutBuilding Permit #14-140 DATE TIIAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 9 ��
ADDRESS �� J(/ N���43G�, �
OWNER CONTR.
PHONE NO. PERMIT NO. C�'� '��
O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
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� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
nvsrvor,
o � PR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
U �
♦�HNES�4�' 1. White File �
2. Pink �„ PERMIT NO. / ��
3 Vellow Applicam f I
Please or and si at bottom
ADDRESS ZONING (ofF�ce use)
��o S 3 0 (Vffr-N-, �u � � W
LEGAL DESCRIPTION (oflEice use onty)
LOT BLOCK ADDITION PID
OWNER � rl e'�. IY GZ ��'f� (Phone) /So� ' yy �" S y�O
(Name)
(Address) � � � �
BUII,DER � � �
(Company Name) �'t° Y1'e.W �i�.�l � v� �Y,1�S.P�7 (Phone) ��5 � � �� y' Y � � �
(Contact Name) � 9�� C. � ��C� � �. � i �. �'�" (Phone) � �7 t'MGI,N
_. _ _ _
(Address) �O �S � �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing Re-Siding ❑Lower Level Fi ish ❑ Firepiace
DAddiuon �Alterarion ❑Utility Connection tace ! 0 w� ��� �' �r1
CODE: ❑I.R.C. ❑I.B.C. O Misc. � �
Type of Conshuction: I II III IV V A B � }5 O�
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5
(exciuding land)
1 hereby certify that [ have fumished information an tktis application which is to the best of my knowicdge true and correct. I aiso certify that I am the uwner or author�zed agent for the
abuve-me �oned property and that ali cunstruction will conform to ati existing state and local taws and will p�oceed in accordance with submitred ptans. I am aware that the buildmg
oFficiai c revoke this permit f' cause Furthermore, I hereby agree that the nry o ial or a designee may enter upon the property ta perform necded in.� inns. /
X o� �c� �a � 83 la � `I
Signature Contractor's License No. Date
Permit Valuation ���j � C U Park Support Fee # $
Permit Fee $ �� .? SAC # $
Plan Check Fee $ �--. Water Meter Size S/8"; 1"; $
State Surcharge $ � p tj Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee S Other $
Gas Firepiace Permit Fee $ TOTAL DLJE $� Q. 7 t
Ttuis Appticadon Becomes Your Building Pem�it When Approved Paid Re t NO. �
Date 3 . ( , l B
Buildine Otiicial Date
Thu �s to certify that the requcst in the above appiicat�nn and accumpanying documents is in accordance with the Ciry Zoning Ordinance and may yrcueed as requcs[ed. This document
when signed by the Ciry Planner consntutes a tempurary Certi6cate of Zoning c�mptiance and aUuws conswction tu eommence. Before ixcupancy, a C�ruficate of Occupancy must be
issucd.
Planning Direetor Date Special Condidons, if any
24 hour noticc for all inspections (952) 447-923S1i. fax (452) 447-4245
4646 Dakota Street Prior Lake, MN 55372