HomeMy WebLinkAboutBuilding Permit #13-1028 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �
ADDRESS ���`'�� �1KX, � (�.�"£9� � I`'.
OWNER CONTR.
PHONE NO. PERMIT NO. � � --• ( �
O FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ jNSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FtNAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS: �Q,Q,a.�Q l.v �tn,�n�-uJ�
o �'
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
insNOn
oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
v �,
���NEB��r �. Wh,�e File PERMIT NO. i3 _ lG��
2. Pink City
; Yeliow Appiicam
Ptease or rint and si at bottom
ADDRESS / G � � � 8 l � � � � G � T a � f �, � ZONING (otFice usc>
, �
LEGAL DESCRIPTION (oftice use only)
LOT BLOCK ADDITION PID
ow�vER Go� G'unn��So n 95�����•y�y3
(Name} � (Phone)
(Address) l�' � y J� /J ll � Q C, a,�G. �� ! s�
BUII.,DER THD At- Home Service, Inc, Y 7
(Company Name)_ (Phone)
Qs�l3ys • � �
2690 Cumberland Pkwy, Ste 300
(Contact Name) Atlanta, GA 30339-3913 (Phone) J4 Cl�
(Address) Lic # CR268257 Ph. 763/542-8826
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re•Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition �Alteration ❑Utility Connection �/
CODE: ❑I.R.C. ❑I.B.C. �tisc. � L'1 !/� Q OI.J � C �D �� c,� M� n �
Tyge of Construction: I II III N V A B pROJECT COST/VALUE $ ! 7 7
Occupancy Groap: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hcrrby certify that I have fumished information on this application which is to the best uf my knowicdge true and cvrrecc [ aiso cettify thac ! am the owncr or authorizcd agent for thc
above-menhoned property and that all construetion will conform ro all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
ufficiai can revuke this permit for just a se Furthermore, I hereby agree that the city official or a designee may enrer upon the property to perform needed mspections.
� � e�2L �a � r� 4fl��13 �
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # �
Ptan 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 DITE � ��
This Appiication Bernmes Your Building Perntit Whm Approved Paid ReCei t
Date B
Buildin$ Utiicial Date
This u to cercify that thr requcst in the above appticauon and accumpanying documents is in accordance wi[h the Ciry ZAming Ordinantt and may prumed ac requcsced. Th�s document
when signed by the Ciry Pianner constitutes a temporary Certi6eate of Zonmg compliancc and aA��ws construction w commence. Befure �xcupancy, a Ceit�ficate of Occupancy must be
issucd.
Planning Direetot Date Special Conditions, if any
24 hour noticc for aIl inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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