Loading...
HomeMy WebLinkAboutBuilding Permit #14-0094 CITY OF PRIOR LAKE AT TIIiAE INSPECTION NOTICE SCHEDULED � � ADDRESS ; `� 1� �� U�` ��'C S OWNER CONTR. PHONE NO. PERMIT NO. � --� y� ❑ FOOTING � PLUMBING RI ❑ FJ(/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI � INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL O GASLINE AIR TST ❑ ITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � � ��'�'L- -� �, � �.� � /`� -� �.;. ��� c:� _ �.�� � a �.�� . ��� � , ,. . � : � „ , ��� _ �. , ?�WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. �► �" OwnedContr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl lNSNOTJ �� P R I ��P CITY OF PRIOR LAKE BITILDING PERMIT, Date Rec' d � �� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v �' AND UTILITY CONNECTION PERMIT y y J ���� d ,��' �'NE5� ` `� F '� PERMIT NO. �¢ P Z Pink CiIY 3. Ydlow Appl�cant Please or ' and si at bottom ADDRESS ZOiN'ING �o� �> / 53 � / �� �� c.� �5:,� . ,� �s� LEGAL DESCRIPTION (o�['ice use only) LOT BLOCK ADDITION pID � 5. U�J/, 0 a�• 6 OWNER p �., (Name) ��?�' � °�E.r.t �M/ �G �5� 7 � (Plione) (Acidress) S'3 9 / /�� � L cS� � • Bvu,DER �/Z 81� � �- � (Company Name) �A"�rt G�31 �n "< �ti-C (Phone) (Contact Name) �oir� .t3.�d 7 (Phone) l /oL �'b 7 � a"� (Aadress) 7S i��13v�e. f�•*� S /�ic� -- r�-�.✓ Z TYPE OF WORg ❑ Nevv Consrracaan �Deck �Poirh L��-� ��-Siding �La�ver Level FinBh ❑ F�eplace DAddition .�ati� �Ut�ity Con�� 1 �.> ;�'� CODE: (�i:R.C. DI.B.C. ❑ M� Typc of Cons�uction: I II III IV V A B � D pccnpancy Group: A B E F H I M g S U PBOJECT COST/VALUE S �� 1 2 3 4 S �� �) I hereby oettify thai I 6ave fittnighed infar'mation � ifiis apQliratian whuh is oo d� bc� of my Imawled�e tnu and aoaed. I aLso oatifY that I am the owner � authaized a�eent fbr the above-mentioned pivpecty a�d that all coosauct�n wiit mnfam to all e�sting stau a� lora! laws and w�l prooced in a000rdaix�e with �ed plaos. I am awaze that the bw7ding officiai can rewoloe this ' far� ' . FuRhermoce I herebq a@ree d�at the dtY �9a1 or a designee maY �' �� P�S' � P� ��• X ,�es�3�9� �dry S�� connactor's License xo. � Permit Valuation Z � �p — Park Support Fee # $ Permit Fee S Z � Zr SAC # a Plan Check Fee S Water Meter Size 5/8"; 1"; $ State Surcharge $ �� - Pressure Rednoer S Penalty $ Sewer/Water Connection Fee # S Plumbing Pernrit Fee S o Water Tower Fee # S Mechanical Permit Fee $ , Builcler's Deposit s ' Sewer & Water Permit Fee S 0 �� s Gas Fireplace Permit Fee S TOTAL D �.Gq,/ ¢— S � �� petmic ween v Paid ' t No. O ' Date ,, B r su�ia� ot��� ord�ane�e aoa may paooeod as mqoe�od. '17vs aocvnmenc This is to certify the uest m the above applieasinn a� a000mpanying dotau�ts is in wgh ti� Cily 7.onmg a Ce�tificate of Oa,upancy must be when signed C' o�rtesaumporaxy Cenifirate of ZoninB aad �aa to oommenoe. Before oavpancS, issued. Z Plannin8 Spoael Caaditim4, if mY nr notice for all inspections (952) 447-9850, faz (952) 447-4245 4646 Dekota Street S.E., Prior 1.Ake, Minnesote 553'72 � � pR.,tp� Date Rec'd � CITY OF PRIOR LAKE PLUMBING PERMIT � � �t�— � � ' � �' '. B '"` �''` pERMIT NO. � 2. ca�a cn / 3. Yellow nr�i��n lease or t and ' at bottom ADDRESS ZONING (oa use) `.� � °r �P� �� 1�' � �-� LEGAL DESCRIPTION (office use onty) LOT BLOCK ADDITIt�N FID : �� ) ��/L /t � � L� �O � p/^ 7`S (Phone) � (Address) � �� � �' � �g � �j y� APPLIC � (Name) �� � ����r T.� f -P �.c.4� +�� �.�i ur c:e�phone) �f� S� �2 -��,,Z 2 (Address) �� � r u �..� �rl v,e �4 �7 ��r�t��4� S� 3 m 2, (Address) (City) (Zip Code) (Conta.ct Person) � d � C G! I' �ir'T `�� (Phone) � (�- .SG .'L � j � APPLICANT SIGNATURE ' DATE ��1� ��P � APPLICANT PLEASE COMPLETE BELOW uanti T e of Fi�ture uanti T e of Fiztnre Bath Tub with or without shower Rou h-ins Dishwasher ,,� Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laund Tra 1 or 2 com ariment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Famity 5149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ 3! O d.�' C� Building Permit # PP►�����ptM STA SURCHARGEFEE $ .SO ��`�'�,�� TOTAL PERMIT FEE $ �orn� u� oo�y� This Application Becomes Your Bu�lding Permit W6en Approved Paid Receipt No. Date By Buildine Ofticial Date 24 hour noNce for all inspections (952) 447-9850, fag (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ;< _ _ _ .. - r - ., _. .., . - : .-,. _ . . . . . ... . . , . . . . . F. .. F �' . ' S-ti. .. . , _... � 1