HomeMy WebLinkAboutBuilding Permit 14-1364 DATE TIME OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (Z l 1 I
ADDRESS Ii 2-C 1 S Q
OWNER CONTR.
PHONE NO. PERMIT NO. 1 . 1 3 (,
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
MP
LAINT
❑ FRAMING G
0 WATER HOOKUP
❑ FIREPLACE RI❑ INSULATION ISI
0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINALA.d & Q3,
`
COMMENTS:
died WORK
SATISFACTORY,
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector Pe
/r�j2 1�
Owner/
`��G;1.� Con
tr.
CALL
447-9850 FOR
THE
NEXT INSP
EC
TI
ON 24 HOURS IN ADVANCE.
CODE
REQUIREMENTS
ARE FOR YOUR PERSONAL HEALTH&SAFETY!
MINOT, Ip.,
of PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ta TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /Z /�S/14--
AND UTILITY CONNECTION PERMIT
afiNNESO1.P I. White File PERMIT NO. /�
2. Pink City /
4fl--
3 Yellow Applicant
Tint and sign at bottom)
ADDRESS / 7 z4 S c AA/t-c/ C(.- , s. co" ZONING(office use)
k cot LiCiel 4/ J 5537-z___
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
B ii P
(Company Name 0.1 S
_ AA 1 u 'dk3 111_,..4„_L.. hone) ar7 Z t, _ iCtdc,
e intact Name O(04...... Z l\ (Phone) ?cz'- 29Z"Co✓' /3
ffoririMiw 'ZS L) n.# q-ce- I-t- S • / gL�E.27e.„ c„t.267-r.44.) A /V/ SSSiczC7
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
Division: 1 2 3 4 5 (excluding land)
1
I hereby certify that I have furnished •nrmaticu„n .;•a,pplication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized z gent for the
above-me, a ail. •: fiat all nstia do g. • m to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offs 'al can- w ..for jt eau,•I , •• i-reby agree that the city official or a designee may enter upon the property to perform needed inspections. `_ './.7
X i/ .13c, er ?2c/
ontractor's License NUS Date
)-
-----
Permit
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 $
This Application Becomes Your Building Permit When Approved Paid 7q- 7-r--
Rece t No.'2,1
Date /Li r S_, / 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