HomeMy WebLinkAboutBuilding Permit 14-1197 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED 1211 JL)
ADDRESS I42,22- R 5\ at r
OWNER CONTR.
PHONE NO. PERMIT NO. j-i ^ I I /7
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
O 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
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COMMENTS: amu.,
C low
ti WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR- CALL FOR REINSPECTION BEFORE COVERING
Inspect, Owner/Contr.
C L 44 -9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD IREMENTSARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSROTI
OF PRION CITY OF PRIOR LAKE BUILDING PERMIT, • Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT IP, Z9 ( C�,C
ti
4��NES��� I. While File r
2. Pink City PERMIT NO. />l� /�
3 Yellow Applicant "�
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/412 / Z , cA efV / /J E l
LEGAQESCRIPTION(office use only) t- /���
LOT BLOCK ADDITION /1/0/2.40S142.,�% 60,4�-� .3...4444/1S,76---DP-77' ��/.'
OWNER /� ``//`` //__ /_ / a 7510 3367S---.
(Name) /'(e,( Yff (Phone) CP
(Address)`
BUILDER q
,/J �'irn7 p �j
(Company Name) voiet , "'� / it, • (Phone) /e l Z S7 /S .3
Contact Name) (Phone)
(Address)
TYPE OF WORK El New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connec ion i)'Tom--(! {/Q' c..C s
CODE: ❑I.R.C. ❑I.B.C. El Misc. /T
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5 l
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 re ke this permit for just cause. Furthermore hereby agree that the city official or a designee may enter upon the property to perform needed'lisp• tion /
Ix
Signature Contractor's License No. ZW/V .
Date
Permit Valuation Park Support Fee # $
1?%1.Permit Fee $ 7 r SAC # $
Plan Check Fee $ t (1) Water Meter Size 5/8"; 1"; $
State Surcharge $ -Pref ure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
9 _`'
Gas Fireplace Permit Fee $ TOTAL DUE $ � r �
This Application Becomes Your Building Permit When Approved ji$ '7t 7� •
Receipt No. 7� �►
�'te 1 By
(02-If't 5Building 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