HomeMy WebLinkAboutBUILDING 15-1336 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 3 2 3 Ao
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ADDRESS • ��N�1�- - -
OWNER CONTR.
PHONE NO. PERMIT NO.
l 3___:_:.1.3-7____•-,.__S___
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ EX/GRAD/FILLING
❑ FRAMING 0 WATER HOOKUP ❑ COMPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FRI
❑ FINAL 0 PLUMBING FINAL ❑ NE AIR TST
FIREPLACE FINAL
❑ LIN
❑ SITE INSPECTION 0 MECH FINAL
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COMMENTS:
L
ORK SATISFACTORY,PROCEED
❑ ORRECT ACTION AND PROCEED
❑ CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMEN7SARE FOR YOUR PERSONAL HEALTH&SAFETY!
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0Pil CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U
erl
AND UTILITY CONNECTION PERMIT 10.- e_r_ ��
'A'NESolP I. White File
2. Pink City PERMIT NO.l5-7-LW,
3 Yellow Applicant ...�0
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/6 r c() llow 4,/ii s' c(/ ,,,,-/ 4))-e �'/e2 '5s '7-R c5'1d7 '69
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LEGAL DESCRIPTION(office use only)
LOT 875 BLOCK dIADDITION 44L- 0 4' - (Y 40 PID ,'-'" 2e'
OWNER / ,may,
(Name) (�/i✓N �li.///i/1,4Ai (Phone) 95 593— (-r,/
(Address) S—G2..,./e____
BUILDER e / /
(Company Name)4/55e / Ab,n/,n/C✓et.i/ 5 -5i'd/A44 (Phone) as/ 4{17-6 775's---I
(Contact Name) -5,kv,�i (Phone) / /
717TY(Address) 4 3s 0//u'/`-�/,I,1 U - 60 SjleJ "h/i/ 575-717----
TYPE
PE OF WORK ❑New Construction ❑Deck ❑Porche-Roofing :Me-Siding ❑Lower Level Finish 0 Fireplace
pi ❑Addition ❑Alteration ❑Utility Connection
E: ❑I.R.C. ❑LB.C, 0 Misc.
e of Construction: I II III IV V A B PROJECT COST/VALUE $ /o 9 7
ccupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
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
officia this permit f`just .use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Wilirr ,i,
x .- C,c0 G qs. JU =17-.c5"..-
Si: ature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 4Water Meter Size 5/8"; 1"; $
State Surcharge $ +� Pressure Reducer $
Penalty $ k .1CConnection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ "/� /5
This Application Becomes Your Building Permit When Approved Paid 4��� Receipt NO. 5$
Date riLS— Byk
Building Official Date
SA---"---
s 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