HomeMy WebLinkAboutBuilding Permit 15-0133 CITY OF PRIOR LAKE -k
DATE TIME
INSPECTION NOTICE SCHEDULED 3 c IS
ADDRESS I 1 1 3 —T"'C1R. _ /
OWNER CONTR. =—( /
PHONE NO. PERMIT NO. \C \ Y3 3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL '
COMMENTS: `-'` dJ
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WORK SATISFACTORY,PROCEED
❑ ORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspedo _ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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tJF PRif3 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2, a r iT
AND UTILITY CONNECTION PERMIT
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-NNESOv* I White File /6 /'
2 Pink City PERMIT NO.
3 Yellow Applicant • ••"
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l 1 / 3 .061 GJrz
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) J t Fvy (Phone)
(Address) ["i f /3 :Lola _
BUILDER
(Company Name) L 4 ciA4j (Phone) 4'5 -w0 -(fes 5—
(Contact Name) v'--- (Phone)
(Address) tto 3"j k:. 10i' 51-
P✓lfk, r!.�«�
TYPE OF WORK ❑New Construction ['Deck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
DAddition ['Alteration ['Utility Connection
CODE: DI.R.C. ❑I.B.C. Mise. (,)' - • ,IS
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ `Q
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mention roperty and t t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r o this rmit Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X if 8 -9340 eio
Signature Contractor'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 $
This Application Becomes Your Building Permit When Approved Paid 1 q ,16/ ' -•-ipt No
6141
Date ^ .
i/ , 11,
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance a Omay proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372