HomeMy WebLinkAboutBuilding Permit #13-892 DA E TIME
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED
ADDRESS ,� � � r' ' �
`�K,� v�.
OWNER CONTR.
PHONE NO. PERMIT NO.
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
O FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�L�l�'FINAL O PLUMBING FINAL O GASLINE AIR TST
�E] �ITE INSPECTION ❑ MECH FINAL p
COMMENTS:
�.
�
ORK SATISFACTORY, PROCEEO
❑ CT ACTION AND PROCEED
❑ CORR ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe o . Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMEJV?SARE FOR YOUR PERSONAL XEALTH dc SAFETY!
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oF PR�O� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � �3 �3
� � AND UTILITY CONNECTION PERMIT
�'iN �. Wh,�e File PERMIT NO. ��
2. Pink fity /
. ; Vellow Appliwm �
Piease or 'i►t and si at bottom)
ADDRESS � ZONING {o�'ice use�
'���� �m(1'l t � �� � �+�� � ��
LEGAL DESCRIPTION (oflf'ice use only}
LOT BLOCK ADDITION PID
OWNER � �y p
(Name) � �( Q � (�(. (Phone) �,'�7 c� — J�IS �— ! 07 �j oZ.
(Address) �a ��
BiTILDER �"`-�• �� � �S�{�j,.(�T
(Company Name) � � � � (Phone)
(Contact Name) \ � CTt�'tc°_ ►' (Phone)
(Address) � {'' � / v
TYPE OF WORK ❑ New Construction '�jDeck ❑Porch ❑Re-Roofmg ❑Re-Siding ❑Lower Level Finish ❑ Fireptace
[]Addition ❑Alteration ❑Utility Connecfion 5 � � 3 �' ��
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of C nstruction: I II III N V A B pROJECT COST/VA,LUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 Z 3 4 5
I hcreby certiCy that I have furnished information un this appiication which is to the best of my knowlcdge true and correc[. i atso certify that t am the owner or auth<�nzed agcnt for ihc
above-mennoned property and that aii cunstruction will conform to atl existing state and locai laws and will proceed in accordance with submitted plans. I am aware that the buildmg
( ufficial can revyiQ Uiis permlt for ust c se Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspections.
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X _�
Signature Connactor's License No. Date
Permit Valuation ��v �� Park Support Fee # $
Permit Fee $ Z� b�j SAC # $
Plan Cheek Fee $ `�, �� Water Meter Size 5/8"; I"; $
State Surcharge $ � �Zj Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Piumbing Permit Fee $ Water Tower Fee # $
Mechanicai Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DI3E C�� �. i(n ./ j $ �. �.�'
This Ap on Be es YoufiBuitding Pem�it Wh Ap ved Paid ReCei t No.
� �� � Date B
uildin ticial Date
This is to crrti that the qurst in [he above apptication and accompanying docume s is in ecordance with the Ciry Zuning Ordinance and may pruceed ac requcsted. This document
when signe the lanner cunshtutcs a temporary Certificate of Zoning com iance d atluws construction ro commence. Before ixcupancy, a Ceruticue of Occupancy must be
icsued-
� �3
Planmn tor te Special Conditions, if any
24 hour notice for aii inspectians (9S2) 447-9850, fax (952) 4�17-4245
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �� ���
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
BUILDER IV�D �N1T�.. PHONE # �T,,. 9l.LZ
NOTE: THIS IS NOT A P�RMIT FOR A.NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING wc � �' �' �
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL .�;_,_..�, 2.� �.
�OR ALL INSPECTIONS (952) 447-9850 �
�.
SURIIEY PIi�AARED FOR: � �-� t
Tc� t#o�ME coNSr . Vattay Surveyin� Co.. PA. }
� 4A� THEIS pR{VE • St!!)E l20-C , 16B7Q FRA11pfL1N'1'AML .
SitAKOPEE� MM. '�83T8 FRqIW(LfN OFF/CE CONOOINlM/UM
PRIOFt LAKE, MINNESOTA 56372
.. TELEPtpNE ( 6t21 44? — 2b7C �
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