HomeMy WebLinkAboutBuilding Permit 14-0510 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 2
INSPECTION NOTICE
1. --
ADDRESS S O
OWNER CONTR. ( �f ^ �-/
PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP
❑ FOUNDATION0 FIREPLACE RI
AL
CE FI
P
RELAN
p INSULATION 0 SEWER HOOKUP 0❑ FIPLA AIR NAL
FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS:
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORR ' =RK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto
jp
Owner/Contr.CA /1447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
Barron
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of PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
P0TEMPORARYCERTIFICATE OF ZONING COMPLIANCE
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rl AND UTILITY CONNECTION PERMIT ( . (( 5
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411.1NEsOit'!I
White File
z pink City PERMIT NO. /(_/, 0
3 Yellow Applicant
ase type or print and sign at bottom)
DDRESS ZONING(office use)
I oaf<6 RIY 17/ -r ) I2GS.)
LEGAL DESCRIPTION(office use only)
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LOT BLOCK ADDITION PID �"j 0� v tid3C
OWNER T�/T��
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(Name) J v 1�r� (Phone) 6/;'- /a— / ?,
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(Address) 3 aC'' /(54/Se? •t i., > U r L 1 21-7 533 7
BUILDER
(Company Name) ale IC 0/ .1.:P/. ,571-1 -) e---) e-- (Phone) '757 ' 37- 75-7
(Contact Name) D .rr v7 £7 '/e at/ (Phone)
(Address) D-,l '93— l\3"3 —7'd 5 1 Z. ier r,' r I _j7,/-7 53 7c L
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration DUtility Connection /� / 1
CODE: ❑I.R.C.411opcu
❑LB.C. �1 Misc. �'U ` dmkAs `/ y�/j /J
e of Construction: I II HI IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 3 �
(excluding land)
vision: 1 2 3 4 5
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 c. firm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offici e this permit for Furthermore ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X r 6c5-739'/ 2 4-1/- 1y
Signature / Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 014 r7� SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
,/
State Surcharge $ 1 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 $ 177
i
This Application Becomes Your Building Permit When Approved Paid rig. '7S^ Receipt No. i(50 j
Date (Q. ( ( •/ t f By ._ dLil.
Building Official 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
n 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
tied.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372