HomeMy WebLinkAboutBuilding Permit 14-1107 DATE TIME
CITY PRIOR LAKE SCHEDULED
431
INSco
INSPECTION NOTICE
ADDRESS (el O 4 U
OWNERCONTR.
PHONE NO.
PERMIT NO. _________11-1t-9-1--__
t-9—
0 PLUMBING RI 0 EXIGRADIFILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
0-FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL n
COMMENTS.
x WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRE ORK,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!
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o,-P--,,* CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
�' AND UTILITY CONNECTION PERMIT (0. (i',
`NES/
I.white File PERMIT NO. /// ���
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2. Pink City / / � �
3. Yellow Applicant
4111113
ease type or print and sign at bottom)
DRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only) 77n
LOT / r
BLOCK / ADDITION �,11tAe „S,+' /Z Ala PID,;7, -.-,21S, -e /- 63
OWNE((Name) hrt L r 5utp0j (Phone)
(Address) `LQ9,( .�__ " 1 131s
B'L HER O1(L L O C
(Company Name) Lii-ty ./hex- R-e 1 1 v bY\ (Phone)
(Contact Name) ____ AAAI____ AaeAqA
r�i ,/ (Phone)11P3-` 1-152— 2111
(Address)1 eo \A)0,470-6( `�L G ki V UW t 1 p wf144 N Scat-424
TYPE OF WORK 0 New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 'ReVOLC . I OS #LI Wile, '
CODE: ❑I.R.C. ❑I.B.C. D mi.:Attl cauxacit IM't4e r dU.Ct buoy t i A Maf .a
Type of Construction: I II HI IV V AB
ccupancy Group:
as
ivision: A B E F HI MR SU PROJECT COST/VALUE $ 9001 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 revo 's permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
V V
X v/^I C U °
ignature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ V5e 240 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
i
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 $ ) J)
Gas Fireplace Permit Fee $ TOTAL DUE $ L 3 `L✓v
,p • in Bec, es Your Building Permit When Approved
T,pd20/0 /7 cacii-,) ,
Receipt NO. 7 1 �1 `E` 1
/' -2o
-- date ` 1 By
Build',10!Official ate
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
en 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
ed. /� / 1
Fad �erlty� At
Planning Director Date t/ 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