HomeMy WebLinkAboutBuilding Permit 14-1248 DATE TIME
CITY OF PRIOR LAKE SCHEDULED L Z� -
INSPECTION NOTICE i
e.
ADDRESS S
OWNER
CONTR.
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PHONE NO. PERMIT NO. !
0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 FIREPLACE RI
O FRAMING ❑ WATER HOOKUPL
CE FI
PLANA
O INSULATION 0 SEWER HOOKUP 0❑ FIREIREGPLA AIR NA
TST
FINAL 0 PLUMBING FINAL MECH FINAL 0
p SITE INSPECTION 0
COMMENTS: ,...12.cc °' I
Wig
imiMillif
PI-
yd WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRE• WO K,CALL FOR REINSPECTION BEFORE COVERING
Inspect.r.
/I Owner/Contc
C LL , 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UF I_
CO 17REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
OF Pkro CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 7.1 /
en AND UTILITY CONNECTION PERMIT l l �i l
en
411NIyEsOt
I. white File
2pink City l PERMIT NO. 1c ,(M
.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZOZ(office use)
c5337. 40-tvoks.s /JU..)
LEGAL DESCRIPTION(office use only) a
LOT S BLOCK ADDITION Xv jj W l (,V L., Ma�' L ` PID 5—*3 "I
'.--1AIL 'D " (.:- ' 0
OWNER (Y7c
frw44AWL (Phone) 52-alj -7' 5 r ) lLAA.,
(Address) 15 3 - Z B f1 sS r v� frugi-- LAAO b41 ) 55'3 Z Z-.,
BUILDER
(Company Name) Ah.4 (11Sel ' (Phone) 13 -3 (5 -Q Z'45-
(Contact
(Contact Name) vA ( S D � (Phone) Ur�1 Z `�'yC
(Address) tV S7O
Co i s ( Si„( (Q /1/V (e ase-49—..-e_ ffetio
TYPE OF WORK ❑New Construction ❑Deck ❑Porch We-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ❑Alteration Utility Connection
CODE: ❑I.R.C. El Misc.I.B.C. g 35"b./ -�
�
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 l
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 to 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
1official can revoke th. permit for c e Further ore,I hereby agree that the city official or a designee may enter upon the property to perform needed i spectio
g _ (0.2-1 1 7' 7 I l�
X /� G �_
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S ature Contractor's License No. ate
Permit Valuation Park Support Fee # $
�� % K # $
Permit Fee $ `7' 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 $ lc(TOTAL DUE -7
$
Gas Fireplace Permit Fee $ —7
This Application Becomes Your Building Permit When Approved Paid 7 q [ S! Receipt No.
e�-�e�,t�
Ulill
Date /i[ l l 1 By l�7""
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 Prior Lake,MN 55372