HomeMy WebLinkAboutBuilding Permit 14-1086 DATE TIME
CITY OF PRIOR LAKE I
/
INSPECTION NOTICE SCHEDULED G /."ifS
ADDRESS `�l2IOces-n-c,....v_a Rit( gs._ ,II
1
OWNER CONTR.
PHONE NO. PERMIT NO. I Li —(68( '
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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0_14›seb. It)? ‘ti,:
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WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRE• • K,CALL FOR REINSPECTION BEFORE COVERING 1
AKInspector. Owner/Contra
CALL ,-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
Hamm
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rR!o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
\',:
AND UTILITY CONNECTION PERMIT / ' 3. /
4NES0.0P I. Pinke File PERMIT NO. 16---7
32llCity / f� 'I
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
53 & 1 Carl / Oft 14/ /l k cf NF 1 c►b
LEGAL DESCRIPTION(office use only)
LOT BLOCK / ADDITION i2 h�p0,21-0,4. - j PID a7,57- -7-M6
• OWNER 8(�
(Name) 81 II rk46i / (Phone) 612/3° 8 . 61!6
(Address) 5 3 (+ I C a t P( 096 [ / / , Q. NE
BUILDER THD At- Home Service, Inc,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone) 95 a/3 Y s • £.b 4' 7
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) J 0 di
(Address) Lie#CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction DDeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ❑Utility Connection / n 4 �� et)0 � or rep�Q(�(� � e it L
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CODE: ❑I.R.C. ❑I.B.C. 4isc. /� Q
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 3 3 7 0
Occupancy Group: ABE F HI MR SU (excluding land) I
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit fo juts cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
i< --------:::: CRa ` 4aa s7 10I l/��
Signature Contractor's License No. Date
•
Permit Valuation Park Support Fee # $
sr-
Permit Fee $ 1417 J SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 5'. 0 Pressure Reducer $
•
Penalty $ ✓ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee • $ Builder's Deposit •
$
Sewer&Water Permit Fee $ Other $ •e•')
Gas Fireplace Permit Fee $ TOTAL DUE $ / q, /S
This Application Becomes Your Building Permit When Approved ', .. 2 iNtii
Receipt No. 1
►I ateto.� t Lki By
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372