HomeMy WebLinkAboutBuilding Permit #10-0332 � DATE 7lME
CIT1f OF PRIOR LAKE V
INSPECTION NOTICE SCHEDULED �C `(�1 —I�
ADDRESS -�� �� �,(, �'-i �,� � ' ��� "� '`
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OWNER CONTR.
PHONE NO. PERMIT NO. f d'." �.� �--�
� FOOTING � PLUMBING Ri ❑ EXiGRADlFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULA710N O SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL O PLUMBING FINAL ❑�ASLINE AIR TST �
❑ SITE IN�PECTION 0 MECH FINAI. G1' '�` i���
COMMENTS: j/ � / � `� �.
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�� WORK SATISFACTORY, PROCEED
❑ CORRECT AC710N AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTtON BEFORE COVERING
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Inspectar: � OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS 1N ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �f SAFETY.�
WSNOTI
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F PRI� CITY OF PRIOR LAKE BUILDING PERMIT, v Date Rec'd
,� ° �� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � fj
� � AND UTILITY CONNECTION PERMIT � S `
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M��'NES��P I. White File pERMIT NO�O � 2 �
2. Pink City
3 Yellow Applicant �
Please e or rint and si at bottom)
ADDRESS G S's j �\Gh.- ( I^ G� !J'� ZONING (off'ice use)
J J '(
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUII.,DER �,�le .rt9{5� t" 'V'S /V�, ��u�5 5�'� � 3 y _� � �O
(Company Name) �T"� (Phone)
(Contact Name) ��'i� �J� V�5 (Phone) ��� Yi a - � 3 5 �
(Address) 1 U N�/`� � �'TVC � �� �� �+ N
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch -Roofing -Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Conn tion
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III N V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U
Division: 1 Z 3 4 5 (excluding land)
I hereby certify that [ have flunished information on this application which is to the best of my knowledge tnie and correct I also certify that I am the ownrr or authonzed agent for the
above-menuoned operty a that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ofi'icial c vok is per �t r just cause Fiuthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspections. �
X � o�f �3 7S� S— S= �
Signature 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 DLJE $ , Q
This Application Becomes Your Building Pemut When Approved Paid Re i t NO. �
Date "", e> B
Buildin � Utlicial Date
This �s ro certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceeA as requested. This document
when signed by the Ciry Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Befure occupancy, a Certificate of Occupancy mus[ be
issued,
Planning Director Date Special Condiuons, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372