HomeMy WebLinkAboutBuilding Permit 14-1103 DATE TIME
CITY OF PRIOR LAKE SCHEDULED lip.se
_--
INSPECTION NOTICE
ADDRESS G ! IACl.)i) ‘---Er-AC-L----
OWNER CONTR. /
PHONE NO.
PERMIT NO. �4— / ` O
0 PLUMBING RI 0 EX!GRADIFILLING
❑ FOOTING0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE RI
❑ FRAMING0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION 0 PLUMBING FINAL 0 GASLINE AIR TST
FITEL
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: Wi ,1 .
1 Oft
11 1111111 - tic cr-- �°
WORK SATISFACTORY,PROCEED
CORRECT ACT •. AND PROCEED
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CORRECT W•' 'ALL FOR REINSPECTION BEFORE COVERING
nspedor: _ Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
ration
01 PRI%
tU CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
K>kiv-Es°4r
AND UTILITY CONNECTION PERMIT i' (. / V
I. White File
2. Pink City I PERMIT NO. / / /�r„ I
ase type or print and sign at bottom)Ilt
3. Yellow Applicant /
DRESS q (((
/ i.W Ofiravek—Selm �/ (66° ,/� A) ZONING(office use)
�(/t rte`c, /V vv
LEGAL DESCRI'TION(office use only)
LOT ✓ BL4-I ADDITION INC Oka/W/ . ' , 9
OWNER p/
(Name) U1
(Phone) &3' �' O(o'
$ 11
(Address) S 1 wy J PA' Lail(
BUILDERY /) /� ,`
(Company Name) L&L O I ¢5/�{,Og0 (Phone) `/52' 9 ' 9�%�7
(Contact Name) (�J.( Vel (Phone) 452 2 ' Z(p ' zi/Z(p
(Address) 5550 t bile l Mt/1w/v224-4„ /IN 5.5 y3 ‘562-2.._
TYPE OF WORK 0 New Construction ODeck
DAddition DUtOility ConnecPorch tion ne-Roofing ['Re-Siding ['Lower Level Finish 0 Fireplace
OAlteration /
CODE: DI.R.C.4I.B.C. [ 4Üt ��I�l/1,�101(�SOh
lb�
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e of Construction; I II Mist:
IV V A B
panty Group: A B E F II I M R S U PROJECT COST/VALUE c,` 7 q /
Sion: 1 2 3 4 5 $ /
Air•
(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 prop and that- 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 thi rmit fpr ju• ca se. u her,ore,I hereby agree that the city official or a designee may en er upon the property to perform needed inspections.
1
Sig ture Of/0 ( 00 2173 M4TZI3/5-0 /0 2/s
Contractor's icense No.
Date
Permit Valuation
Park Support Fee # $
Permit Fee $ l
6::.(9)--
r� SAC # $
Plan Check Fee Water Meter Size 5/8"; 1";
State Surcharge $S1 $
Pressure Reducer $
Penalty $ �1 1
Jl Sewer/Water Connection Fet7' # $
Plumbing Permit Fee $
Water Tower Fee # $
Mechanical Permit Fee $
Builder's Deposit $
Sewer&Water Permit Fee $
Other
Gas Fireplace Permit-Fee — $-----_–__ $,
— — TOTAL DUE— - I i , ,95....-1
This Application Becomes Your Building Permit When Approved r� / .r,
I Receipt No. ✓I:2\�,j
c1(0, I
I I Date By I
Building Official VO r
1 k'/\ , ---Z,i
Date
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
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
Planning Director Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372