HomeMy WebLinkAboutBuilding Permit #14-098 CITY OF PRIOR IAKE OATE TIME
INSPECTION NOTICE SCHEDULED � 2� � �_
ADDRESS �j � `�'� � � �� � �
OWNER CONTR.
PHONE NO. PERMIT NO. _ "�"� . � �
O FOOTING O PLUMBING RI ❑ FJ(/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GqSLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
���
�ORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORR T WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedo . Owner/Contr.
CALL 447 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
usnor�
04 PR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �a �c.�
� AND UTILITY CONNECTION PERMIT z " �
U �
�i 1. Whi�e File PERMIT NO
2. Pink City
3 Yeliow Applitam
Piease or rint and si at bottom
ADDRESS ZONING (oeeice use>
Z. �� ° ���
LEGAL DESCRIPTION (oflf'ice use anly)
LOT BLOCK ADDITION PID
OWNER �" ��L ,
(Name) �si`�H'L ('� �S �j� �� T r"�✓! �'" (Phone)
(Address)
BUII,DER e [ / �,�/�
(Company Name) -(�C�S�.Ck !- (Phone) �6��".�.s
(Contact Name) �' (Phone)
(Address) • jj`� > '>
TYPE OF WORK ❑ New Consrruction ❑Deck ❑Porch !Re•Roo6ng ❑Re-Siding ❑L.ower Level Finish ❑ Firepiace
❑Addition ❑Alteration ❑Utility Conne t n
CODE: ❑I.R.C. �I.B.G ❑ Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALTTE $
Division: 1 2 3 4 5
(exciuding land)
I hereby certify that [ have fumished infnrmation on this application which is ro[he best of my knowledge true and conect. I also certify thac I am [he owner or author�zed agent for the
above-mennoned propeity and tha[ will conform to atl existing state and tocal laws and witl proceed in accordance with submittcd plans. I am aware that the building
ufficial can rev ke this permit for se Furthermo , hereby agree that the ciry official or a designee may enter upon the property to perY'orm necded mspectiuns.
X �—� � !�=�� Lo � ��c�` �`�
' amre Contractor's License No. Date
ation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; i"; $
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 Pemtit Whrn Approved Paid Re l t No.
Date B '
Buitdin � Ufticial Date
Thu u to certify that thr requcst in the above applicauon and accumpanying documents is in accordance with the City Zoning Ordinance an ay proceed as requcsted. T7iis document
when signed by the City Planner consntutes a tempurary Certificate of Zoning compiiance and allows cnnstruction to commence. Befure cucupancy, a Crruticate of Occupancy must be
issucd.
Pianning Director Date Special Conditions, if any
24 hour notice for ali inspections (9S2) 447-9850, fax (952) 447-4245
464( Dakota Street Prior Lake, MN 55372