HomeMy WebLinkAboutBuilding Permit 14-1283 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED II ( '(iç
ADDRESS -70 Cst
OWNER CONTR.
PHONE NO. PERMIT NO. 1 Li
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMIN¢ 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULA ION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL P417
COMMENTS: / 4
IORK SATISFACTORY,PROCEED
'❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto LOwner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
MINOT)
of reto� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0xrj TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I (< 1, (` I y
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a,,�N NES CqP I White File
2Pink City PERMIT NO. /L/-lG
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3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS _,�,_� r IZl ZONING/(office use) ,
Vt ,S4
LEGAL D SCRIPTION(office use only) / �� S-'`
2
OCK�' ADDITION _/1, ,/'d 6�.(-1 s / 4I 'iPID 0-S `03 -1 )2 `
LOT �TLU���,�
OWNER .
(Phone)
(Name)
(Address)
B(Co DER re: A-23 `j�(Company Name) 7� (�-- f'�^✓� ���' (Phone)
(Contact Name) / (Phone) 7�r3;� �'/-
(Address) /. 07-75,,,20 7 `e 444.1 474. i- ,414 S�?j9
TYPE OF WORK ❑New Construction ['Deck EPorch Re-Roofing ORe-Siding ['Lower Level Finish 1:1Fireplace
['Addition ❑Alteration ❑Utility Connectnon
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR 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-mentioned property and that 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 ke thi,s4orr for Just cause. Furthermore,I hereby agree that the city official or a de nee may enter upon the property to perform needed inspections.
X // Date
Signature Contractor's License No.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ S� °\ 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 $ —79`
•
This Application Becomes Your Building Permit When Approved Paid ' 761. IC ReceiptII,V,�+
Date / 1 -1. 1 - I LI By �J"'"`'''J
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. "'his 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