HomeMy WebLinkAboutBuilding permit 14-1134 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 l23 (g
ADDRESS ti 23 0 Vr Jai A LU Oe ci Q \ r
OWNER CONTR.
PHONE NO. PERMIT NO. ( 9 — ( (3?
❑ 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: 1,3;u .) a, tor
O1oSQ _�
IJO INAtt�or lAcc.eST
WORK SATISFACTORY,PROCEED
CORRECT CTION AND PROCEED
CORRE• IRK,CALL FOR REINSPECTION BEFORE COVERING
ifInspector. Owner/Contra
1 ►
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PR10,p
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
`fir /O. /O , ( ki
AWE W E SOSQ'
t. White File PERMIT NO. I"i //cJ
2. Pink City //3/1
3.Yellow Applicant
ease type or print and sign at bottom)
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DDRESS ZONING (office
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d1O Ta�, e.-., R )5 d
LEGAL DESCRIPTION(office use only) ,j
LOT BL� DIT '°i&//)/..00/9d �� PID,3� 03`f- c2.-o
OWNER/N a fCti
. I,�
(Name) Chi c4- 04A CI (Phone) (9 )- '2.1Z-7565
(Address) 9110 Galvi1laCA 5C , Rios- LXe. , An S '72
BUILDER Q54bathibfs)
(Comm �pany Name) 1►' ' 6'1Yl2bl (Phone) 6/A635-L1737
(Contact Name) ',_,�n/1 a cNi►CY11d1 (Phone)OM) 9 8o
(Address) 'Z5 t'IGuit\ �,!► , ER r
! t l Mv, 553Zj
TYPE OF WORK ❑New Construction Deck ['Porch ERe-Roofing ERe-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility Connection i
411111
CODE: ❑I.R.C. ❑I.B.C. Misc: 4A '4 I e � SlyY1t -
Type of Construction: I II III IV V A BOccupancy Group: A B E F H I M R S U PROJECT COST/VA:1:7$215°C)(1
ivision: 1 2 3 4 5 (excluding land)
a 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 revoke this per 't for' cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspec`ioons.
Signature Contractor's License No. Date
Permit Valuation ' Park Support Fee # $
Permit Fee 9 qc°75
SAC # $Plan Check Fee d Water Meter Size 5/8"; 1"; $
State Surcharge $ 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 $ '17 '.. 7
This Application Becomes Your Building Permit When Approved1 , qq° 'iS Receipt No. � 2 4 q-3
DateIO (O.I ,-1(J 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
ii,
issued.
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