HomeMy WebLinkAboutBuilding Permit 14-1082 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I /7 16
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VIER CONTR. /L 102 Z.--
PHONE
PHONE NO. PERMIT NO. (Li . (0
O FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL 0 PLUMBING FINAL GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ,$)tij
COMMENTS:
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ORK SATISFACTORY,PROCEED
❑ C RRECT ACTION AND PROCEED
❑ CORRECT W K,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
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0* PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .• /O 2
AND UTILITY CONNECTION PERMIT
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44„.,E seo. 0 4 I. white Cit,
z. Pink CidPERMIT NO.
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3 Yellow Applicant I -/�ge' 1
(Please type or rtnt an si at bottom)
ADDRESS M� ZONIN!(office use)
I,/� Tia. Az 1/ R
LEGAL DESCRIPTION(office use only) ° el i I./ (z uft4ouiS t nW-a L / // -f<. 0 / /
LOT 3(BLOCK Z'ADDITION WOO D ,AL 1S PID 0,7 +4).R5 ' /..1 a
OWNER /i4611D-ed ,3` • `1OZ/
(Name) (Phone) g •
(Address) J
BUIL / f ..A(CoA./ J� !/ �.-- 551:7 /(-{(Company Name) ,/ ll (Phone)
(Contact Name) AI, C 0 FF t hone)
5 S L
(Address) jS A' a()/l 11I' n1155-(34 --
.
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ■Re-Siding f(1 Lower Level Finish 0 Fireplace
❑Addttion ❑Alteration ❑Utility Connection „AM-Misc. /i R / f, ;/, / —
ili
CODE: ❑LR.C. ❑LB.C. P'OJECT C+ /VALUE $ �� /.
ype of Construction: I II III IV V A B (excluding land)
ccupancy Group: A B E F H I M R SU
840
Division: 1 2 3 4 5
I hereby certify that I have ished 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 d that all . ctio 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 p .it for j'st• Furt0 I•. y agree that the city official or a designee ma" --•-^i the property to perform needed . /�
X / - l • ae-l�Zl_73Zie-
Signa I Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ —14:75 SAC # $
Plan Check Fee $ Water Meter Size 5/8";1"; $
State Surcharge $ 5 •OQ 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 $ 7s149
This Application Becomes Your Building Permit When Approved Paid if.. 'd' R ipt No. 7z-ii /
Date A),3//
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
roceed asi requested. This document
bet
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, pa cY
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
16200 Eagle Creek Avenue Prior Lake,MN 55372