HomeMy WebLinkAboutBuilding 11-0842 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED
X720 )Dry 4
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. )(
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
0 FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
0 SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED (1
0 CORRECT ACTION AND PROCEED
❑ CORRECT O•K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL k9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT)
r:1 PR.70.4
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
`� AND UTILITY CONNECTION PERMIT
r'�'N E S'
1. White File
2. Pink City (/
PERMIT NO. ¢-
3. Yellow Applicant /� 0
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/7,25-6 / 02 aAJ4D gvc S
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION �^ PID
(Name)
/ �C,/V x� r�r\J (Ph
(Phone) "7` 47- 157/
(Address) la cv / O/2 0 A✓it7 / C 5
BUILDER TWIN CITY HOME REMODELING,INC„
(Company Name) 7710 Central Avenue NE (Phone)
(Contact Name) Spring Lake Park,MN 55432 (Phone)
(763)572-2577
(Address) MN Lic.20515958
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ,]Misc: V 64( tvar 5 - 1.4-,W+tPMY 4.0-eN+'s{
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 'S o. cit
Division: 1 2 3 4 5 (excluding land)
I hereby certi, that I ha fu ished 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-me ' prop: d that all c struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c, di'.I:, it or ju c e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x 071 5/5-, 5"x' 0 --0 -1l
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 {� $ 171 r75
�f✓
This Application Becomes Your Building Permit When Approved Paid 79 l / R ipt No. 637/�/
Date 3 z', /
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