HomeMy WebLinkAboutBuilding Permit #14-239 C�TY OF PRIOR LAKE oaTe
INSPECTION NOTICE T�ME
SCHEDULED � r �
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ADDRESS (� 2j �
v� 5 �r-,
OWNER
CONTR,
PHONE NO.
PERMIT NO. � � � 'Z � �
0 FOOTING O PLUMBING RI
O FOUNDATION � EX/GRAD/FILLING
� FRAMING � MECH RI O COMPLAINT
O INSULATION � WATER HOOKUP
� SEWER HOOKUP � F�REPLqCE RI
O FINqL O PLUMBING FINAL � F�REPLACE FINqL
❑ SITE INSPECTION ❑ MECH FINAL i\ ,�,�J�'ASLINE AIR TST
COMMENTS: � -
�O c�
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORF(, CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447_gg50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE Qpf�MENTS,qR� FOR YOUR PERSONAL lyB,qLTH & SAFBTYI
r�vorr
o � pR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, Z�
� � AND UTILITY CONNECTION PERMIT `
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'�j i. Whire File � � � ��
� r;�k �;, PERMIT NO. ��
3 Yeilow Applicant � �
Please or 'nt and si at bottom
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ZONING (office use>
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER��
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(Address)
BUII.,DER ! � `
) � �^•�/ �a w � �-�t , -.. �' (� (c� � 2�-'� l � ' J � Co j
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(+iril�l�'�'�' �,`�, Z s � j. .++ : �- G'� ' , �� �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Leve( Finish ❑ Fireplace
❑Addition ❑Alteration ❑Udlity Con ca n
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 3
i hereby certify that I have furnished information un this appiication which is to the best of my knowledge h and coReet. I aiso cerufy that 1 am the vwner or authunzeA agent fur thc
above-ment�oned property and that all construction wiA conform to alI existing state and local ►aws and will proceed in accordance with submitted plans. I am aware thac the buildmg
uff'iciai voke t is permit for just causc Furthei�nore, I hereby agree that the city official or a designee may enrer upon the propeny to perform necded mspectivns.
� X � _�j�, l �'.� � ' _ � � /
� No.
Permit Valuation Park Suppart Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Conneetion Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DL7E � ,
�
This Application Becomes Your Building Pernut Whrn Approved Paid R i t NO.
Date � .. �✓( — L �
Buildine Utiicial Date
Thu is tu certify that the requcst in the above appticanon and accompanying documents is in accordance with the Ciry ZAming Ordinantt and may yroceed as requcsted. Thn ducument
when signed by the City Piannet ecroshtutes a temporary Certificate of Zoning compliance and aUows construction w commence. Before uccupancy, a Ceruticate nf Occupancy must tn
issucd
Planning Director Date Special Conditions, if any
24 hour noticc for aif inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Sueet Prior Lake, MN 55372