HomeMy WebLinkAboutBuilding 12-1480 DATE
IME
CITY OF PRIOR LAKE SCHEDULED I ao I�
INSPECTION NOTICE
• aQak--- it r
ADDRESS • 0
OWNER CONTR. /
PHONE NO.
PERMIT NO. { 2 ^/
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUPCE FINAL
REPLA
❑ INSULATION 0 SEWER HOOKUP 0 0 FIREPLACE
GEPLA SLINEAIR TSL
❑ FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
6 WORK SATISFACTORY,PROCEED
❑ CORRECT A ION AND PROCEED
O CORREC ,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
Inspector.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
oi reio.p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
o iv AND UTILITY CONNECTION PERMIT
4iA'NESOil'
I.`hite Fik
2. Pink Chy I PERMIT NO. /i /7 )' 1
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS e ZONING(office use)
I L aL
go o4i�,E Cf'£.£K Avt.. S E T r Co f LKat MYU
LEGAL DESCRIPTION(office use only) -.
LOT BLOCK ADDITION PID
OWNER Lake
`
(Name) �r 16 4. C hI O fC c (Phone)
(Address) 11nda 10 E.0.9 16 e ruK Av s SE
BUILDER, I
(Name) t-1U n60 FI is. f iO LLC- (Phone) Gb-i 9G - 3.Q1(e
(Contact Name) M-N,E kv nc‘oc-c (Phone)
(Address) 10 5 3 S \\O cvv>L s w 44;old, % MtU S 594/d
TYPE OF WORK 0 New Construction °Deck °Porch ORe-Roofing ORe-Siding
°Lower Level Finish 0 Fireplace °Addition alteration °Utility Connection
O Misc. PROJECT COST/VALUE (excluding land) $ 9t cull 0 0
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 , t 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 p .. to.y . • needed inspections.
X .- _ C. Ian 1Z .. 1$ .20‘2
Si y/ Contractor's License No. Date
Permit Valuation l o��r Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $ `
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ ` ..,../*
C-l'T`` rel..,J err-v.-A-,
This ' Becomes Your Building Permit pproved Paid Receipt No.
f _ i Date By
B i ding Oficial '`� Da
This is to certify that the request in the above application and accompanying documents is hi 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
16200 Eagle Creek Avenue Prior Lake,MN 55372