HomeMy WebLinkAboutBUILDING PERMIT 14-1213 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 312q t',.
ADDRESS 15'0 u2- Appal oz's Tr
OWNER CONTR.
PHONE NO. PERMIT NO. /U 121 ?
❑ 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
A FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: u) t IivQ,5,.)a
RA
A409t ' `dam
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
CORRECT R ,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!
ration
(e,"-PRjr,"P/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE UTILITY CONNECTION PERMIT $ 1 S '
`h ANDLJ L,
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11
1.White File PERMIT NO. *tyz2. Pink City3.YelYellow Applicant
ease type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only) 1
261
(�
LOT BLOCK a ADDITION 3 - Q`6/!�'� ' ; -'1'� j� l' PID v?,j 3 v:, ` (//:5
OWNER .
(Name) \)e P- NO`r'5dV\. (Phone) 05'2-.) (/'J 2- 11 1.Z
(Address) I5a 9Z AppalC-6.54f ` NE , B- O. ' ) MAT � c iz
BUILDER ,-- ," n(Company Namelpvi �'tS R?AAn06if,r.J ••- (Phone) ,s, 458
5S ""d S`l
q
�(Contact Name) .`�b Y�- (6/-Z7 (Phone) ( ` - p _o$ "
(Address) '1irJQI (Xo1,C,
St- ,. sLr t )4.) I�I UCX Ra 51 Irl Jam`/O22.
TYPE OF WORK 0 New Construction ODeck ❑Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
411;0
CODE: ❑LR.C. ❑LB.C. [�Mi
sc: oCD�"v
Type of Construction: I II III IV V A B /
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ivision: 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 rev. s pe t r lust cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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` —� CK Ocs I? ea 10/-2.z. ,L4
Signature Contractor's License No. D to
Permit Valuation Park Support Fee # $
Permit Fee $ I
7 .----- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 5-1'69
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 $79' 2 s
This Application Becomes Your Building Permit When Approved pa d //e . /7) Receipt No. i 9„...6--g/7
D e /D'
/ C/2q / , / By6- a*-----
Building Official Date �
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
iliien 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 S.E.,Prior Lake,Minnesota 55372