HomeMy WebLinkAboutBuilding Permit 14-1334 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 6 3 �
OWNER CONTR.
PHONE NO. PERMIT NO. 14 A 133Z.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE FINAL
INSULATION
0 SEWER KUP 0 FIREPLACE RI
❑
INAL 0 PLUMBING FINAL 0 GASUNE AIR
T
al ITE INSPECTION 0 MECH FINAL
COMMENTS:
'WORK SATISFACTORY,PROCEED`CORRECT ACTION AND PROCEED
0 CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wSMOTI
a4 PR o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
Z.") TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v tr, AND UTILITY CONNECTION PERMIT
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*iv E S° I.White File PERMIT NO�'�/'��` `/^�/'
2. Pick City I / _ `s' �
3.Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS
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LEGAL DESCRIPTION(office use only) rr��
LOT BLOCK ADDITION PID,5 33 t 21
OWNER (phone)
D- 4.-1 t ld- `1 3 S 1-
(Name) Vlr eisb fir, CL1c At
(Address) 1(DV) l
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BUILDER (� - 3 S-'3 s-/
(Company Name) Get rvihou I Ex i-e r VUR` S L` C. (Phone)
AMU n
(Contact Name) �I
n gi01(L1hWNk_ (Phone) �i2 2-c2(- II-99
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(Address) 301 A5p(.� Gu, UU C ( �cll fir ) 4J ���� \ vi
TYPE OF WORK 0 New Construction ['Deck ['Porch pRe-Roofing ❑R.e-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: DLR.C. DLB.C. 0 Misc:
Type of Construction: I II UI IV V A B
Ory Gump: A B E F H I M R S U PROJECT COST/VALUES ,2 st A 3 a _ire
Division: 1 2 3 4 5 (excluding land)
which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
I hereby ration d that I have and furnished informationcconstruction
con this applicationrmtaccordance with submitted plans. I am aware that the building
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed inthe to needed inspections.
official can revo permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon property perform `r G
X � -- ( (2 (03I-�3CS p--Qi
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 $ J
This Application Becomes Your Building Permit When Approved I Paid —7 q. Receipt No. p'( ,, ,
Date 1 Z—L I By � I
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 and may 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 S.E.,Prior Lake,Minnesota 55372