HomeMy WebLinkAboutBuilding Permit #13-1146 �' pATE TIME
CITY OF PR10R LAKE gCHEDULED � -
INSPECTION NOTICE
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ADDRESS '�
OWNER CONTR.
PHONE NO. PERMIT NO. ��}�'�--- --
0 FOOTING � PLUMBING R{ ❑ EX/GRAD/FILLING
❑ MECH RI ❑ COMPLAINT
❑ FOUNDATION p FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP
❑ INSULA710N Cl SEWER HOOKUP O FfREPLACE FINAL
❑ FINAL O PLUMBING F1NAL O GASLINE AIR TST
� SITE INSPECTION CI ECH FtNAL
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COMMENTS: ; --"-
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(�,WORK SATiSFACTORY, PROCEED
d�GORRECT ACTION AND PROCEED
❑ CORRECT WOR j CAt,� FOR R�INSPECTION BEFORE COVERING
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Inspector. i� '''� ' Owner/Contr.
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CALL 447 9�0 FOR THE NEXT INSPECTION 24 HO_URS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTN h SAFETY!
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o � pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE o�S I�
,. AND UTILITY CONNECTION PERMIT �
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���'NESO�� �. wn�te File pERMIT NO . �� . �l �
2. Pink Gry
3 Yeliow Applican�
Please or riut and si at bottom
ADDRESS ZONING (o��ce use>
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LEGAL DESCRIPTION (oflfice use only} ,
LOT � BLOCK ADDITION �j� !�/i G� PID Z �� Z y�I ����
OWNER r �
(Name) `fO. ��o��,hS'�� (Phone) �n�a.- ��y^ O�o��o
(Address) � �5 � �'� 'V i ��J ��v,� C i r � ��^
BUII,DER r-� ��� C�a'�3l - t� r�
(Company Name) �«'n� ��� � �� ��� ��''�'` (Phone) �
(Contact Name)�Yc.v�S 'M+�rk�� (
Phone) `��a'��"��J��
(Address) �p� � �, D�� � ��'�- t
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Aiteration ❑Uality Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Conslruction: I II III IV V A B pROJECT COSTlVALITE S o�����y •�
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
i hcreby certify that i have fumished information un this application which is to the best of my knowlcdge true and correct. f als� certify that ! am the uwner ur authortzed agcnt for thc
atwve-mennoned proprrty and that all cunstruction wiil eonform to atl existing state and tocal laws and will proceed in aceordanee with submitted pians. I am aware that the buiidmg
ufficial can revoke this permit for �ust causc FurtheiYnore, I hereby agree that the city official or a designee may enrer upon the property to pcnform necdcd mspcctiuns.
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Signature Contractor's License No. Dat
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 $
Tluis Applicadon Becomes Your Building Petmit When Approved - Recei t NO.
S � ��. � �� � Date . B
Buiidi Uti' al Date
This is to certify that thr requcst in the above appiication and accvmpanying documents is fn accordance with thc Ciry Zuning Ordinance and may proceed i+ requcsted. This document
when signed by the City Planner constitutes a temporary Certi6cate of Zoning compliance and allows construction to commence. Befure �xcupancy, a Ccrhticatc uf Occupancy must be
issucd-
Planning Directoc Date Special Conditions, if any
24 bour noticc for aIl inspecrions (9S2) 447-98St1, fax (952) d47-4245
4646 Dakota Sueet Prior Lake, MN 55372