HomeMy WebLinkAboutBUILDING PERMIT 15-1398 DATE TIME
CITY OF PRIOR LAKE SCHEDULED G —
INSPECTION NOTICE
ADDRESS 1 ti /' $ I..!
OWNERCONTR.
m
PHONE NO. PERMIT NO. i S i 4
0 PLUMBING RI 0 EX!GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FR0 FIREPLACE RI
p INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINALFINAL 0 PLUMBING FINAL 0 GASLINE AIR TST❑
❑ SITE INSPECTION 0 MECH FINAL
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COMMENTS: 64.1( G
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iso -- 4 '
4.
J.
y(WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT '•RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. VW
0 Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
,NSNOTI
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4.0n
f PRto CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I1
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0 1. write file PERMIT NO
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' /1VNESOil' 2. Pink City 11 /l
3 Yellow Applicam
lease type or print and sign at bottom) ZONING(office use)
ADDRESS
I ,Ci'40 4 fit, Cfe k L SL 1'LS 0
LEGAL DESCRIPTION(office use only) •
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BLOCK ADDITION PID cam'J ' `� "D ' l O
LOT � 'I-7
OWNER
(Nm ) L,/I A (* Z- (Phone) CI 6 Z ^ [I zo-3 /Z,
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(Address) } (O 0 414 #_i tL Ci-k-- 16A-A. Se ,
BUILDER
(Company Name) k (Phone)
(,� ��
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing We-Siding ❑Lower Level Finish 0 Fireplace
DAddition DAlteration DUtilityConnection GC-A.
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0liptMisc. V� _(
CODE: DI.R.C. DLB.C. �y�
ype of Construction: I II III IV V A B PROJECT COST/VALUE $ b"�
ccupancy Group: A B E F H I M R S U (excluding land)
ivision: 1 2 3 4 5
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. 1 am aware that the building
official can revoke this permit for just cause. Furthermore,l hereby agree hat the city official or a designgemay-enter upon the property to perform needed inspections.
11 (1 (40 1 en 5
X — Contractor's License No. Date
Si iature
Permit Valuation Park Support Fee # $
Permit Fee $ .1t_r/5-- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ I Pressure Reducer $
Penalty $ Sewer/Water
Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $
Other $
.-7ST. 7 S.--
Gas Fireplace Permit Fee I $
TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid 5 --is- .
7 Receipt No. 54ZS
Bya �,
Date i , . I -1�
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 proceed is requested. This document
hem 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
ifj,
sued.
• Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372