HomeMy WebLinkAboutBuilding Permit 14-0777 DAT TIME
CITY OF PRIOR LAKE
INSPECTION
NOTICE SCHEDULED L'Z Z is row
ADDRESS V A
40,0
OWNER CONTR.
PHONE NO. PERMIT NO. —1-7—7
❑
FOOTING
0 PLUMBING
❑ FOUNDATIONRI ❑ CAD/FILLING
0MECH RI 0COMPMPLAINT
❑ FRAMING
❑ INSULATION 0 WATER HOOKUP 0 FIREPLACE RI
0 SEWER HOOKUP
0 FIREPLACE FINAL
LFN L0
PLUMBING FINAL 0 GASLINE AIR TST
0 SITE INSPECTION 0 MECH FINAL
COMMENTS:
P4z—eff if
(jeCt056'
IkWORK SATISFACTORY,TORY PROCEED II'�
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WOR it OR ZEINSPECTION BEFORE COVERING.
Inspector.
Owner/ .
n
tr. II'
CALL 447-9850 FOR THE >
• OURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTJ
oiPR14?
9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
tri UTILITY CONNECTION PERMIT 3, i i. 1 t/`�
rA' E 5D/
N
:White File
PERMIT NO. /,[./, /7,7 7
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/412100 k1014 ALI N. E U5/21
LEGAL DESCRIPTION(office use only) `,
L0112ITI
(BLOCK1/ ADDON 5,,�� Arne I V4o)o/1 U PID - ,2 j -o- � v
p-
OWNER
(Name)(Name) 76'N t/ 6 t-m V (Phone)
(Address) .5,4't r It
BUILDER q� 1
(Company Name) XQON\ A 14 v e R -Zr�
r/Q 0 (Phone)
' Y 71" 12e.,
(Contact Name) C0122-1 (Phone) (i12...^7 43^ tiO r��
(Address) 5j -JM'L.14 4.1.41.J 0 Nt x-A, ni . 63741
TYPE OF WORK 0 New Construction ['Deck ['Porch e-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility C ction
CODE: DLR.C. I.B.C. 0 Misc:
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 81 Q
7A , et'
Division: 1 2 3 4 5 (excluding land)
I hereby certify . I ave furnished information on this app...ti.•w-. •is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mention ,., . and that all construction ,' c.. 4 6 4 w.:(ting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revo •• permit for just cause. Furth.•• 1 ,I h.•., -y ,t the city official ora designee may enter upon the property to perform needed' ecti
X Pf 71 Z7a 0 it
'Sign.4 Contractor's License No. ate
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $'� b_;---1
Water Meter Size 5/8"; 1"; $
State Surcharge $ 1c 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 $/q• is
This Application Becomes Your Building Permit When Approved 1 ,F,'!• lq . q.3 Receipt No. '` / 1 q,..,
1 DateLI, By l
ik,
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 cocument
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