HomeMy WebLinkAboutBUILDING PERMIT 14-143 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 4211.114. -- -
INSPECTION NOTICE
ADDRESS O , ►i, A eke"0..
OWNER CONTR. t'
PHONE NO. PERMIT NO. �4 l --
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE RI
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INNALATION SITE INSPECTION 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ S
0-FINAL 0 MECH FINAL 0
COMMENTS: ' , ►k � 1. S .t•wk-c3-et- \earn
IWORK SATISFACTORY,PROCEED
CORRECT 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 REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,,,ANTEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z _ 1 l
AND UTILITY CONNECTION PERMIT
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I. White File PERMIT NO. )))
/ / /
3. Yellow Applicant
473
ase type or print and sign at bottom)
1111)
DRESS (4411.lwoab Eterive 31ARYSCHOOL ZONING(officeuse)
$061 Mu.1t.1E.Scf7A sr. se.
PRIt & CI°lkg, MM .5-s-3121b2 2. Pink City
/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID Z 5 • '7 6) D 0 e- 0
OWNER
(Name) PR10K LA TF-SAVA-46 Pu81.1t,6cHC ?SSD#71a (Phone)
(Address) 4544 o G{Z c ce-r s€., PAK*,L,AKCS,MIS SS3'12
BUILDER
(Company Name)(yoi'.HAtsk_Otc .1 1.4.k?r.HAl4 lc Ilk-,'tJC- (Phone) 3,2O-( t -!Iola
(Contact Name) CHAD UAitaSt (Phone)
(Address) 841 FoRa&r- Auks EAsrr-- w OA,Mt..) 53-05 1
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition Alteration ❑Utility Connection it�6MoJi� 1 rawSPR►t.�kt�cR HV1O Fo& RISPuAU%n^�+^4T os �lyu
iiii
#‘1.-40, Rt'rQ�AuS t p,gi 5(tRWr LI4 ppm.. Alw.?N'siliu.
CODE: DI.R.C. ❑I.B.C. EIMisc:
Type of Construction: I II III IV V A B
ccupancy Group: A B C� F H I M R S U PROJECT COST/VALUE $ i�6(0 0.OC)
ivision: 1 2 3 4 5 (excluding land)
I hereby certify that I have fu;yf1.h-: , fo do• on th' ication 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 f all s. ion . 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 this p . t lust c us- u . ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Co35 d/,aAd—
sr-
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
1 Z DO.bb
Permit Fee $ 1 4Y 06 SAC # $
Plan Check Fee $ if I *I. b Water Meter Size 5/8"; 1"; $
State Surcharge $ .8 5- 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 e)46,6.---i,; LO_.4- $ 10(o.43
Thi pplica' Becom Your Building Permit When Approved Paid 4/�/if 7 Receipt 2,219 9 7
Date Gt, �• By
3L,f
ildin fficial ate
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. �; �'
tc14 11,es r``f. ail ilea. /Oc c
Planning Director Date u 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