HomeMy WebLinkAboutBuilding Permit 14-0260 DATE TIME
CITY OF PRIOR LAKE SCHEDULED --
INSPECTION NOTICE
ADDRESS ,
OWNER
CONTR.
1�J_ 7/
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PHONE NO. PERMIT NO. i I
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
p FRAMING 0 WATER HOOKUP
p FOUNDATION 0 FIREPLACE RI
0 FIREPLACE FINAL
0,INSULATION 0 SEWER HOOKUP 0 GASUNE AIR TST
EINAL 0 PLUMBING FINAL 0
p SITE INSPECTION
0 MECH FINAL
COMMENTS:
II 1_-
III o _ ' Ni0g '
UZ-5�
WORK SATISFACTORY.PROCEED
❑ CORREC =
4.;:i
r1k3,�� CITY OF PRIOR LAKE B Li LDING PERMIT, Date Rec'd
NITEMPORARY CERTIFICATE C ZONING COMP AND UTILITY CONNF Y ION PERMIT
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L White File .,
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2. Pink City '`a1 I. 1 L.�/-+�7
3. Yellow Applicant _._ — //......� �fY'�-_. _..J
ase type or print and sign at bottom)
DRESS0
/qa742v � Ale- Q�d� j �� 537 �_
LEGAL DESCRIPTION(office use only)
I
LOT BLOCK ADDITION -23D
OWNER -/ �"' / S®g-
(Name) �Jl G/ ' I1'4 T�(li'1 II 5? i (Phone) 331 -- -
(Address) /44076 ieci7 6 5 (ST-/✓L ,/et2 9A hill SS 3 7. ---
_ �
'BUILDER / Casa l33-�,3 oa
(Company Name)to4&T''�- ie /a607 (Phone)
(Contact Name) ��Y Dc'57" (Phone)
(Address) 3 q-3 /fi6,9I,YS'A9h�.cz / 5T,LO't5 ��'t�F� '� �s�'
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑:
❑Addition ❑Alteration ❑Utility Connection _
CODE: ❑I.R.C. ❑I.B.C. Qj]Misc: �llt NDO t)�EPGACE�'l�st/7�r7)Tiro Fxrs_��5 Oo_�1112�j5
Type of Construction: I II III IV V AB SOO m` /�
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE m i
ision: 1 2 3 4 5 (excluding land) _j
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 antiJI,zeo agc,i ;b1j
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,h «. . .i„
official can revoke th' ermit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins;ecaoa .
CAeCil 741/
Signature Contractor's License No.
Permit Valuation Park Support Fee # $ i
#
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $ I
Mechanical Permit Fee $ Builder's Deposit $ j
Sewer&Water Permit Fee $ Other $ !
I
Gas Fireplace Permit Fee $ TOTAL DUE $ 7f:7-3—
i This Application Becomes Your Building Permit When Approved Paid '7 -7. Recei et No. i //-0-
Date AM B 'f:i....
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 re tt';;,:,.) utn.alt
ffif
n signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificat_„l' .v.,i...,,c, i..o..,.;e `
ed. i
i
I
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