HomeMy WebLinkAboutBuilding 11-0397 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I j2G/l
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ADDRESS 1jl8Y4^100uSs
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OWNER CONTR.
PHONE NO. PERMIT NO. I I — 3?7
❑ 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
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 0
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORREC u- ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOT1
of PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ¢ 2 /, ( /
AND UTILITY CONNECTION PERMIT
M'',NESO I. White File
Pink city PERMIT NO. / I . 2-.
77
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
H520 . nr\VDcti,5y Circle NE Prior ..0...\60. In-)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Lox r l l uAynarY- (Phone)
(Address)
BUILDER
(Company Name) 13*C1 Scoe-o\0.\i./ Cor*n.c.*br5 1 L.I.C.. (Phone) (..e 12.ail .232,
(Contact Name) Mor et1c.1 ell.ni\c\ (Phone)
(Address) .),R4 2 V „\fir-Nk ve._ r) incy\r,eu.pol► 5,rnm
TYPE OF WORK ❑New Cons uc n ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding g g ❑Lower Level Finish 9 Fireplace
DAddition Alteration El Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 9 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
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 revo this permit for j st cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X –()LI2-6°1 D 9 LI) LI I L IA 1\
Signature Contractor's License No. Date
Permit Valuation —6-n) D 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 $
This Appli ion Bec es Your Building Permit Wh Ap oved Paid (. 7f ceipt No. C9 2 62-5—
`t rr Date ¢ u 0Y-.•
Building tnaa "`.... Date
i
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