HomeMy WebLinkAboutBUILDING PERMIT 14-1265 DATE TIME
CITY OF PRIOR LAKE SCHEDULED __--
INSPECTION NOTICE
ADDRESS 58' 5 ��
OWNER CONTR.
PHONE NO. PERMIT NO. 19 "l'-a _
❑ 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
❑ INSULATION 0 PLUMBING FINAL 0 GASLINE AIR TST
FINAL
SITE INSPECTION 0 MECH FINAL ❑nn
COMMENTS: TT
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WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
CORREC ^"'K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. �� OwnerlContr:
CALL 447 '850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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of to CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.. AND UTILITY CONNECTION PERMIT
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IZ ILI
k1IfNEsdl� White File r
z PinkCity PERMIT NO.F 4..._ 1 S
ase type or print and sign at bottom)
ADDRESS
��/� 3 Yellow Applicant/---
pplicant ZONING(office use)
ol 9 ‘ ,7----A.4,44.....„
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)
P h[ 1 e a, 1)�Q g e ! (Phone) 75'3' T cia-- 7 a-o 5
(Address) c -- -‘,,i,;:-.11/ - . A-4e#4.j Pc-,-d.f 4 4kkc
BUILDER
(Company Name) [e4V tart IE.. d- 1..Jrr iC 0 C-4 vt r A-ch 2(Phone)
(Contact Name) ; yy\ <3 e. 1.-t►( Ceft- t (Phone) Cr /Z -.� /— ?-as-3
tJ
(Address) 3 30 7e-t W 1► m c 5 T. y6. P S c o r i-.4 AZ
TYPE OF WORK ❑New Construction ❑Deck ❑PorchRe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
pe of Construction: I II III IV V A B PROJECT COST/VALUE $ ,�
cupancy Group: ABE F HI MR SU
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 . all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
Xficial ca this permit f rjust cause Cher . e.I her.j�•gree that the city official or a may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee ## $
Permit Fee $ 7qt,
' SAC ## $
Plan Check Fee $ Water Meter Size 5/8"; 1"; ' $
State Surcharge $ cf00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee ## $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ c.-
Gas Fireplace Permit Fee $ TOTAL DUE $ 17
This Application Becomes Your Building Permit When Approved Paid ”, 7 S' Receipt No. 22-
Date
2-
Date 7/' 1d , f By t,
Building Official Date
is 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
hen 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
fissued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9S50,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372