HomeMy WebLinkAboutBuilding Permit 14-0768 TE TIME
CITY OF PA'^e' wit //
INSPECTI 7/7
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4394 PLEASANT
ADDRESS JEFFREY F TUPY
OWNER Re-Side 14-0768
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 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 0 MECH FINAL 0
COMMENTS:
oserP\LVA.P..,
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT 0 K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
c• TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ., t
AND UTILITY CONNECTION PERMIT ;�. f
Al1NNE5011' I. White File PERMIT NO.
2. Pink City ii /
3 Yellow Applicant f ,, / 7(1/ 1
se type or print and sign at bottom)
DRESS ZONING(office use)
I/3 q Y ei
LEGAL DESCRIPTION(office use only)
LOT BLOCK 56-13I bNZ e7:09-L PID J'r 5 (7( /.0C P,
(Name)OWNER ((� ►�) (Phone) b { -g4 7-- 3( :),c-
(Address) J'3 ? Plc k3 U.k ( 66+T ,7Q.,- 4
BUILDER S
(Company Name) Te I •i (Phone)
(Contact Name) 5 ? '' ct 10 -/i^ (Phone)
(Address)
TYPE OF WORK CI New Construction ['Deck ['Porch ❑Re-Roofing IAR,.-Siding
ODE: ❑I.R.C.
41
['Lower Level Finish ID Fireplace
❑Addition ❑Alteration ['Utility Connection
C ❑LB.C. El Misc.
e of Construction: I II III IV V A B
pancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 3( O
vision: 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 •is permit for ust cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
IX 0 ' / •
S . Signa rt?I Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ • ,/ SAC # $
Plan Check Fee $ 10, 7�Ll, Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
0,..>1?-)
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 $ 7 7
This Application Becomes Your Building Permit When Approved 1 IT: 75 Receipt No. 7/g(,g
DateBy ��
. i (1-
Building Official Date
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
n 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
.ued.
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