HomeMy WebLinkAboutBuilding Permit 14-1332 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE
SCHEDULED 12 2 i
ADDRESS DR
ESS Zerlitc"4- La
OWNER CONTR.
PHONE NO. PERMIT NO. ` k _ \3 3
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI 0 OMPLAI FILLING
0CMPLAI
❑ FRAMINGNT
0 WATER
HOOKUP K
UP
0FIREPLACE RI❑ 1NSULATION 0
S
EWE
RH
HOOKUP UP
0 FIREPLACE FINAL
0 PLUMBING FINAL 0 GASLNE AIR TST SITE INSPECTION 0 MECH
FINAL
COMMENTS:
•
r
111/
�]�IORK SATISFACTORY,PROCEED
r
0 CORRECT ACTION AND PROCEED
0 CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
IATNOT,
oi PR/0�
F CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
AN1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'r :_c‘l
1►'NES
I.White cite
. Pink City //T PERMIT NO. ,/
i-433 a3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(olfice use)
5-Z1i'j De.crcc ( A tte, r Pr,v Irle-,-� N SS37Z
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) D i A h e- Yo I^ s13 (Phone) 5 Z- -H
(Address) 52- 1 D-e._.(-.4 e / d Lin.
BUILDER °4--
(Company
�
(Company Name) 5-67 le"f es- n. �"e 5 F/ T v� c (Phone) 7_ S---?
(Contact Name) 5'. c., (�11,----f-717,`^ (Phone) Sa —--
(Address) 5 0 01 Dye-v-1 '- / ) i 3 r 00 lc—L-7/1 Ce...-1-e--v- M A) C s c-f—2--91
TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection G
CODE: DI.R.C. DLi M
LB.C. isc: 56 .1 )g
Type of Construction: I II III IV V AB
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Z5 0 0
Division: 1 2 3 4 5 (excluding land)
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 thr building
official can revo this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -� 4.,„ - .1) i H ci uo/ � 1 /Zr.-/ of
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan 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 DUE $ I ZZ tI 411
This Application Becomes Your Building Permit When Approved Paid 12,--2,,(09 Re)ipt No. &07
Date L7,1 .3 - (4- B
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 S.E.,Prior Lake,Minnesota 55372