HomeMy WebLinkAboutBuilding Permit #14-147 DATE TIIAE
CITY OF PRIOR LAKE `/
INSPECTION NOTICE SCHEDULED � 3�� r
ADDRESS ��pC� �o�C� �r
OWNER CONTR.
PHONE NO. PERMIT NO. � 7-`��
0 FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER NOOKUP ❑ FIREPLACE FINAL
,�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS: �� ��
,� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL EfEALTH & SAFETY!
lNSNOTI
o � PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � Z � , ( �
� � AND UTILITY C()NNECTION PERMIT
�
4,,� �. Wn.�e file PERMIT NO. ��7
z ����: c�� � � .
± Yellow Appliwm
Please or rint and si at bottom
ADDRESS � � ^ � ( O � � � � � ZONING (uE�'ice use)
L
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER �--� .
(Name} +J (Phone)
(Address)
BIJILDER '�/— t --"
(Company Name) ! � � c � rs �C � (Phone) ��Z.� ` O � 6
(Contact Name) A � �S (Phone) �(s,� � �Z� � � ��` �"
(Address) 3 D �j O � ��- /� � � (�ro.� � fi��(.r�
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing e-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alterarion ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III IV V A B pROJECT CO5T/VALUE $ /��
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certi[y that 1 have fumishe ormation u is appiication which is to th st know►edge rrue and conect. I alsu cenify that I am the owner or authonzed agent for thc
a(wve-menuoned property an at ail cunstr n will conform to ail existin nd tocal laws and will proceed in accordance with submittcd pians. 1 am aware that the buildmg
ufficial can revoke this per for just ca urthermore, I hereb he city officia! or a designee may enter upon the propetty ta perform needed ms ctions
�X v��C [ `� �/�'����J�
__._..-
Signature Coptiactor's �ice . Dai
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 Application Becomes Your Building Perntit When Approved Paid Rec � t No.
Date , Z . B
Buildine Utiicial D�te
This �s to certify that thr request in the above appiicatian and accumpanying documenis is in accordance with the City Zoning Ordinance and may proceed �.c requcsted. Th�s d�xument
when signed by the Ciry Pianner consututes a temporary Certificate uf Zoning compliance and alluws consmicdcm to commence. Before ixcupancy, a Cert�ticate ��f Occupancy must bc
issucd
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (952} 447-98.50, fax (452j 447-424i
4646 Dakota Street Prior Lake, MN 55372