HomeMy WebLinkAboutBUILDING PERMIT 14-1220 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED *14/
ADDRESS J4Z 15 60.4,4.6Q, ,Q 14)6r-d.
OWNER CONTR.
PHONE NO. PERMIT NO. I C "17 2:0
❑ 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:
0.c.cce P,\1 4,c,V-C)PO 7
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WORK SATISFACTORY,PROCEED
CORRECT TION AND PROCEED
CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
I spector. 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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ec--7---- .1) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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E../ ,, ) ',7 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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ds.ismorpr, AND UTILITY CONNECTION PERMIT
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PERMIT NO. i.
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A IN 1/ 0 A\vve. (At- , 'Mute Ftle
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3 Vella, Appneset /4t-
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ZONING(office use)
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LEGAL DESCRIPTION(office use only)
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LOT 45—BLOCK 2.-- ADDITION 57/4-AJA, /bilkLe)--"4-7 A (1),1 to prD
OWNER C-C--) , , , /
(Name) ,--/e.. ,-. t
(Phone)
(Address) --(-3 A on). "'-
BUILDER
(Company Narne)B c----..-- --e---f --Q...0A--•-z.-1-$2.-l. r----t (Phone) CC0 k )
(Contact Name) N - -` cz-- --C. c-----(A.s2J--- (Phone)
(Address) 1 S cD, (...- ' 'W ---- S -. - S . -- c-=-c.-;,r---'-'t .-1-'4'.'"'."‘ Hk 1'''-')
TYPE OF WORK 0 New Construction ODeck OPorch Olte-Roofing OReSiding 0Lower Level Finish 0 Fireplace
OAddition CAlteration I:Utility Connection
CODE: E3I.R.C. OI.B.C. ) i
(7Msc: IV lIA(.1.0-0 /P19(tvoile
Type of Construction: I R III IV V AB /66 75-
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
IDI hereby certify that I have furnished information on this application which is to the best of my knowledge nye and correct. I also certify that I am the owner or authorized agent for the
above-n=7d property and that all-.. .'aim will conform to all misting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official.- r ke.. .permit fort ., ..,. . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed uaspecnons.
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r - ' Signature Contractor's License No. Date
" 1
Permit ValuationPark Support Fee tt $
Permit Fee S......-
5 A 0 .7 SAC # $
Plan Check Fee $ - t ,ri) Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer S
Penalty $ Sewer/Water Connection Fee # S
Plumbing Permit Fee S Water Tower Fee # $
Mechanical Permit Fee S Builder's Deposit S
Sewer&Water Permit Fee S Other $
Gas Fireplace Permit Fee $ TOTAL DUE S gsr
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This Application Becomes Your Building Permit When Approved
r, , ,71.-,3 Receipt Nofi aqc)
/ate
tit/ By
5
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
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 airy
• 24 hour notice for aU inspections(952)447-9850.fax(952)447-4245
4646 Dakota Street SE.,Prior Lake,Minnesota 55372
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t)r114-1- Lublius
9"D° I° - to(0\L1' S-I-• 4t I 11Plc446-7--655V-2-3