HomeMy WebLinkAboutBuilding Permit #14-198 DAT TIME
CITY OF PRIOR LAKE �� t �
INSPECTION NOTICE SCHEDULED
ADDRESS � � � 1� � ������� ' — " k
OWNER CONTR.
PHONE NO. PERMIT NO. �`"E '� f ��
0 FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: h
'��-
"�=�
�v
��LWORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
inspector. ° Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH & SAFETY!
WSNOTI
oF �tt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �
�" ' AND UTILITY CONNECTION PERMIT �� l
v �
�
+�xN�so'�'' �. Wh,�e File PERMIT NO. `� C
2 Pink City
3 Yellow Applicant .
Pkase or ' and si at bottom
ZONING (otTice use)
�� �� r
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �� � � ����-�/ � (Phone)\�lc�� �� — �7� �
(Address)
BUII.DER
� �� (�� K;�"' � � /c��'!,� ,r. - - - .����
t��) �
��e) � � (Phone)
Address) ��(� � � , �,,��G���!! �/(s� � ��.�'��
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Firepiace
❑Addition DAlteration ❑Utility Con cti
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Tyge of Constxuction: I II III N V A B PROJECT COST/VALUE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify tNat [ have furnished information on this application which is to the best af my knowledge true and correct. I aiso certify that I am the owncr or auth��r�ud agent for the
above-mcnqoned propEVty a � th 1 cnnstru ion will conform to atl existing state and local laws and witl proceed in accordancr with submittcd plans. I am aware that the buildmg
� uff'icial can revoke this p r ji �rs rthermore, I hereby agree that the city official or a designee may enrer upon the propetty to perform necd�m.� ie'n#�
X /
o.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connecrion Fee # $
Plumbing Fermit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Appiication Becomes Your Building Pemtit When Approved Paid R ei t NO.
Date � B -
Buildin + Ufficial Dnte
This is to certify that the requcst in the alwve appticaRan and accumpanying documenu is in accordance with the Ciry Zi>ning Ordinantt and may procred as requcsted, Th�s dixvment
when signed by the City Pianner cunsntutes a tem{wrary Certificate of Zonms compliance and ailows construction to commence. Before �xcupancy, a C�rnficate uf Occupancy must be
issurd.
Plannipg Director Date Special Conditions, if any
24 bour notice for all inspections (9S2j 447-9850, fax (952) 447-�l24i
4646 Dakota Street Prior Lake, MN 55372
•���
�
.
. �:,�ar�'"'°' .�y�'°�'r+ti'�r++�
.�
"°„'�
• 1
.. �:,�� a�:r..�_:: :�.�"� _..,AaiiK�`b�