HomeMy WebLinkAboutBUILDING PERMIT 14-1179 CITY OF PRIOR LAKE ..?/123/1‘,.
DATE TIME
INSPECTION NOTICE SCHEDULED
ADDRESS l 3( I i or tc)c9ockg4- -
OWNER CONTR.
PHONE NO. PERMIT NO. /CI —11 7C/
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
0 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: (4�C1dev 5
`� (J l k- kcc5
r�oY 25
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WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE RK,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!
INSNOTI
•
01PRI04
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT O ;
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I.white File PERMIT NO. //t-7' '2. Fink city _/
3.Yellow Applicant
ease type or print and sign at bottom)
ADDRESS ZONING(office use)
$ eftioNo(1111
i Vis, FfuC2 (� , klu cv72_
LEGAL DESCRIPTION(office use Ally) a,C * >p
LOT l BL 6R. C ITIUN 1G / PID
3t7 7- z73 -
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(Name)R (---y kill) /V a 6 (Phone) `'1 c�Z - _►`T - Z.1.07
I (Address)LOW'
focaixno sr 3
BUmDER IU//rr�� epAi t 1(03 ' (.o'S(oZ5-
(Company Name) ltv�' � �VL.- (Phone) n�
(ContactName)
�n,94 i ( �� a� . al /I� �j�,(�/ ,� ^ (Phone) 7(48 -543 - �D 25
(Address) 7-(J (:�`eat. Liv Y/� l' /1/0 . , �X�-i ; 1-I ► $q3
TYPE OF WORK 0 New Constryctipn ['Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition teration ❑Utility Connection _(1ki)3 c4 L.'-�2 U\Clt-1 t` I $ j A)
illoCODE: ❑I.R.C. ❑LB.C. ❑Misc: ��/V 11 CW;NO
Type of Construction: I II III IV V A B 6)1-2
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-mention- • ..erty.••that all nstruction will c orm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can re p- for jus se. Furthermore hereby agree that the city official or a designee may enter upon the property to perform needed inspe ns.
MEPSignature Contractor's License No. Date
Permit Va .tion Park Support Fee # $
Permit Fee $ y I < SAC # $
Plan Check Fee $ W Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 Pressure Reducer $
Penalty $ 5Sewer/Water Connection Fee # $
4.'
Plumbing Permit Fee $ t/I Water Tower Fee # $
Mechanical Permit Fee $ � Builder's Deposit $
Sewer&Water Permit Fee $ Other $ ��
Gas Fireplace Permit Fee $ TOTAL DUE $ '`2 7. S
'
This Application Becomes Your Building Permit When Approved / "74 r'7. Receipt No. rt7353 7
Date 0 r 7 ) C By 5
Building Official Date (/ C�
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
iiplien 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