HomeMy WebLinkAboutBuilding Permit #13-1233 DATE TIME �
CITY OF PRIOR LAKE + (�, ' 7
INSPECTION NOTICE SCHEDULED I{• L�' - J
ADDRESS I � � ";" Z �) ��-'� �--'�:� �i ' ' `-� '
OWNER CONTR.
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PHONE NO. PERMIT NO. � �3 � ��
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPUIINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL 0
COMMENTS: �� I I� � I�`'��� �� ��/�/
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`�; WORK SATISFACTORY, PROCEED
�O CORRECT ACTION AND PROCEED
❑ CORRECT WOR�C �OR SPECTION BEFORE COVERING
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Inspector: /. Owner/Contr:
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CAJX�4�9�50 FOR THE NEXT INSPECTION 24_HOURS IN ADVANCE.
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CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY7
lNSNOTI
' ` DATE TIME
CITY OF PRIOR LAKE i
INSPECTION NOTICE SCHEDULED �
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ADDRESS `�25�'�� f?.�� 1���y., ��
OWNER CONTR.
PHONE NO. PERMIT NO. � '�� ���
❑ FOOTING ❑ PLUMBING Rt ❑ EX/GRADJFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE Ri
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING F{NAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL � f.�i,.�s"� ��
COMMENTS• f �/��,�;s�,�, �i� J,��r�. � � z� -
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❑ WORK SATISFACTORY, PROCEED
' ���GORRECT ACTION AND PROCEED
l O CORRECT WOR C FOR EINSPECTION BEFORE COVERING
Inspector: nwnerlContr:
C�C, -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
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,��� �� � CITY OF PRIOR LAI� BUII.DING PERNIIT, /���`� Date Rec'd
� � TEMPORARY CERTII�'ICATE OF ZONIlVG COMPLIANCE I
" AND UTILITY CONNECTION PERMIT I ��- '�(.3
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Z � F �;;,, PERNIIT NO.
� 3. Y�Low ,�i�mt � . / � /� 33
C88C OI illd 8 1t bOt[OIR
` ��D�SS I 17 a � � � r ('�Q � �r � S � , �'^ 1 q �' �A t M N J �J J "! O� ZONIl�TG (os« use)
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LEG,AL DESCBIPTION (o5�ce use onty)
LOT � BLOCK � ADDTTION G'� � ��� � �� l�-� �ID �.5 � �f'�l
OWNBR �/ n n ,
(Name)_ 1 ��� 0 a (Phone) 7��o -�� o�=��h��
(A�'�) 1^ i �j
BiJII.DER 'r I
(Company Name) � (Phone)�� � - � � �t' - �-�2�'�0
(Contact Name) , (P o e � - � `f" �2
(Aaa��s) 1 , p`�ri►.w �'Y) N SSC� I 1uc�y.� castomremo - e�ersinc.com
TSCPE OF WOBg Q New Cons�uction ❑Deck QPorch �Re-Roofing �ite-Siding []Lower Levd Finish ❑ Fireplaee
.
[]Addition [�Aloeration [�Utility, Conneeaon
CODE �.g.c. ❑i.s.c. ��: � Y' �4�r; � `
� o�to�aon: I II rv v A B
Ocs�c� �'sroupe A B E F H I M B S U PBOJECT COST/VALUS S�
Divi�io�: 1 2 3 4 S (e:cludi���
I nerd�y «rdty ehat I have fiumshed �tion on this appfication wLich is to the beat of my lmowkdge fiu aad oo�ed. I also artify that I am the oana o� anthorized a�mt for the
above-mentioned pmperty and that all cons�acaon will �nform Lo all adsting s� and local laws and w�ll proceed in aeoo�dana with aubmi�d plans. I am aware that t6e bu�lding
os,c� ran rev ��c �or�nsc canse. r,�nerm�e. I hereby agee that the city official or a desi�nee may enta upoa the piopaty to peffo:m needed inspec4ons.
�x C�r��2�1 � IO -� - i_�
Signature Co�ractor's License No. Date
� ----
� Permit Valuation Pat'k Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8";1"; $
State Surcharge $ Pressure Reducer $
PenaitY $ Sewer/�Vater Connection k�ee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builtlei's Deposit $
Sewer 8c Wat�r Permit Fee $ pther $
('rds Fireplace Permit Fee $ TOTAL DLIE $ �
Thia wpplicatlon Baomea 7Com s�lain� re�it when wppro.ea . n ReCEi t NQ.
� � e i � Date B
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B,�a�n off��► na�
This is to oertii'y that the request in the above appfication and a000mpanying documents is in accordana with the Ciry Zoning Ordinance and may proaed as reqnuoed. 1Lis docameat
when si�ed by the City Planna cons6dutes a umporary Cerd6cate of Zoning oomplisnce and allows constraction to commence. Befon occuPancY� a Catificau of Oavpancy mnst be
issued.
Planning Diredor Date Special Condifions, if my
24 honr notice for all inspections (95Z) 447-9860, fai (952) 44�-4245
�b46 Dal�ota 3tnd 3.E., Prior Lake, Minnesota SS:i72