HomeMy WebLinkAboutBuilding 11-0381 ,
PATE
TIME I! �.
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS 2
CONTR.
OWNER � �(f
PERMIT NO. L�..------ LLING
PHONE NO. ❑ C,FtADIFi
0 PLUMBING RI t3 COMPLAINT
❑ FOOTING ❑ MECH RI 0 FOMPLAINFINAL
❑ FRANDATION ❑ WATER HOOKUP ❑ FIREPLA
❑ FRAMING ❑ SEWER HOOKUP ❑ IREPLA AIR TSL
❑ INNALATION ❑ PLUMBING FINAL ❑ �I
❑ SITE
INSPECTION 0 MECH FINAL
❑ SITE
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED
RO PROCEED COVERING
CORRECT ACTT AND❑ l
❑ CORRECT WO CALL.FOR REINSPECTION BEFORE CO
pwner/Contr.
I
Inspector: SIN ADVANCE.
CALL,447.9850 FOR THE NEXT INSPECTION�N�HATH&SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERS
iNSNOT1
01 PR/O4,
,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
rn AND UTILITY CONNECTION PERMIT
`VArE5°
• 1.White File PERMIT NO. „ // 3I
2. Pink City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 9 ‘-iI Poet`�--eiy\ I OAA. l S
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name) ...).e-
j.e Gt(u (`(' e (Phone) q . Lico? • e4/40/
(Address) I rlh H i r YGvJ S
BUILDER -
(Company Name)f1f1e-W ,'I, ,.C�O(5 of ml IG►� ' )Lt-e-(Phone) 1 b9 r�3a Oo 0 _
(Contact Name) 6(toft) O-t htit i �J �,^ (Phone) gNsna• a 33- O l 9
(Address) liW .C'" Dal,.. : m0 Ht15 / �i S s /ZO
TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
['Addition DAlteration ['Utility Connection
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CODE: DI.R.C. ❑I.B.C. Iisc: W WI 0010 UZe-9101 .e r)114 ( k? s'02,-1---S-
Type
,-1--SType of Construction: I II III IV V A B
Occupancy Group: ABE F. HI MR SU PROJECT COST/VALUE $ +-70 0
• Division: 1 2 3 4 5 (excluding land)
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 revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X �a ao 24-/ fcfzoq
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee
�e u� ed Water Meter Size 5/8"; 1"; $
State Surcharges:: eCtO ile+ , Of tie Pressure Reducer $
Penalty egr,it, ' tte1 • Sewer/Water Connection Fee # $
Plumbingla
h} Permit Fee,te 11011''e ,,�e' Stalled"I Water Tower Fee # $
Meal riical Permit FegtOtS attVeS' Builder's Deposit $
Sewer k.Water Peng li $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $717r
This Application Becomes Your Building Permit When Approved Paid 1 f 7( R eipt No. 4Z.,076,
Date 16/// B ,
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
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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