HomeMy WebLinkAboutBuilding Permit #13-0357 �
DATE TIME
ClTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (y�
ADDRESS y S� � � f J� IN� �✓��. � 1 J'�
OWNER CONTR.
PHONE NO. PERMIT NO. / 3— 3S �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMtNG ❑ WATER HOOKUP � FIREPLACE R!
0 INSULATION � SFWER HOOKUP ❑ FIREPLACE FINAL
�INAL ❑ PLUM�ING FINAL ❑ GASLINE AIR TST
❑ StTE INSPECTION O MECH FINAL ❑
COMMENTS: J�
�,�IORK SATISFACTORY, PROCEED
� O CORRECT AC710N AND PROCEED
❑ CORRECT W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 44 - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
V
oF YRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �'� ��
� � AND UTILITY CONNECTION PERMIT � ` � � '
U �
�'�Nxeso�° i � �k` c�; PERMIT NO. �� . 3��
3 Yeilow Applicant �
Please 'ut and si at bottom
$$ � � �lM � n" �� 1 r' I V� ZONIN�'i (office use)
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r o� tr ���1 F ���"7 2-
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
O ame � � � E (Phone} '; I� � � Z✓� �� ( �' A
(Address) `T ��' ( �'L� � I Yl ri 1 ✓t'1 t Y � I `►� i I�IC� �' L.C�,(.�2 �'7 � -`�J'� 3 � 2.
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcdon ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Levei Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Con ectio
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROTECT COST/VALUE S
Division: 1 2 3 4 5
(excluding land)
i hereby certify that i havr fumished infurmation on this application which is to the best of my knowledge true and correet. I also certify thac 1 am the owner or authonzed agent for the
atwve-mennoned property and that all construction will conform to all existing state and tocal laws and will proceed in accordance with submitted plans. I am aware that the buitdmg
ufficial can rrvoke this pe�mit for just cause. Furthermore I hereby agree that the city officiai or a designee may enrer upon the property tn pn�form needed ms�et ons.
! x j dz"�- Z- �_
ignature Contractor's License No. Date �
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 Appiication Becomes Your Building Peimit Whrn Approved Paid e i t No.
Date �
Buildin � Utiicial Date
This �s to certiFy that thr requca�t in the above appiication and accompanying documents is in accordance with the Ciry Zoning Ordinantt and may promed �.e reqursted. Th�s document
when signed by the City Planner consumtes a tempurary Certificate of Zonmg compliance and allows cunstruction tu commence. Befure �xeupancy, a Cenificatc �>f Occupancy must be
ivtted.
Planning Director Date Special Conditions, if any
24 hour notice for atl inspections (9S2) 447-9850, fax (452} 447-424i
4646 Dakota Street Prior Lake, MN 55372