HomeMy WebLinkAboutBuilding Permit 10-1142 DATE TIIIAE
CiTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � ° .1.� f �
ADDRESS � �3 �� ��� �-t�S _
OWNER CONTR. •
PHONE NO. PERMIT NO. � (� — ( ( � ?i
❑ FOOTING O PLUMBING RI O EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
� INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECT{ON ❑ MECH FINAL ❑
COMMENTS: �t�,d?.a„�
�s -� D -- eo C� �
$� WORK SATISFACTORY, PROCEED
O CORRECT ACT N AND PROCEED
❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYI
lNSNOT7
OF PR/p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ;��.�' �=��; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / , !¢. ` l�
�' ` � AND UTILITY CONNECTION PERMIT �
ti f �
U M < �j
��n'NES��P I Whrte Fde
Z �,�� �„ PERMIT NO. Iv // l�..Z
3 Yellow Apphcam
Please e or rint and si at bottom
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
. C
(Address)
BUII.,DER °—�— D
(Company Name) � (Phone) �Q ����� 'J�� �D
(Contact Name) (Phone)
(Address) � �j ' -
TYPE OF WOHK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level F�msh ❑ Fireplace
❑Addihon ❑Alteranon ❑Utility Connecnon
CODE: ❑I.R.C. ❑I.B.C. �Misc.0 2-
Type of Construction: I II III IV V A B pROJECT COST/VALUE $/ � C�
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby ceRify that t have furmshed mformahon on th�s apphcatton whuh �s to the best of my knowledge true and correct 1 also cerufy that I am the owner or auffionud agent for the
above-menhoned property and that all construcnon will conform to all ex�shng state and local taws and will proceed m accordance w�th submuted plans. I am aware [hat the buildmg
official can revoke this per for st cause Furthermore, I hereby agree that the c�ry official or a designee may enter upon the property to perform necded mspectwns
X �`_z_D �-13 L� a�
Signature Contractor's License No. te
Permit Valuation Park Support Fee # $
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 # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid R 1 t No. �
Date /L, / , ld �
Buildm� Utlicial Date
This �s to certify that the request m the above appl�canon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requcsted Th�s document
when signed by the Gry Planner consututes a temporary Cerhficate of Zonmg compl�ance and allows const�UCUOn to commence Before occupancy, a Ceraficate of Occupancy must be
�ssued
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