HomeMy WebLinkAboutBuilding Permit 14-0660 CITY LADATE MAE
INSPECTION
OFPRIOR NOTICEKE
SCHEDULED /1/1/14_
ADDRESS 04 • e r-
OWNER CONTR.
PHONE NO. PERMIT NO. /T Liao
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ EX/GRAD/FILLING
❑ FRAMING 0 WATER HOOKUP ❑ COMPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE 0 FIREPLACE FINAL
NAL 0 PLUMBING FINAL
SITE INSPECTION 0 MECH FINAL 0 GASLINE AIR TST
' ❑
COMMENTS: `1,2 r-.-
V
IMPAIM�'�
Ilta
ir X11 .
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ COR- CT !RK,CALL FOR REINSPECTION BEFORE COVERING
Inspe or: /IA Owner/Contr.
C L CO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
'non
�0* PR/04.?
CITY OF PRIOR LAKE BUILDING PERMIT, bate Rec'd
U Z TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 7
AND UTILITY CONNECTION PERMIT �-
rkNg5e�
x I.White City PERMIT NO. (4, s7
. ( (,,O
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS / ZONING office use)
111 i 7- (p Co p f A9ClecfL
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) '3-PiS e,A) ik () r G A (Phone)
(Address) 3PryKiL
BUILDER
(Company Name) Re. ((a n^ wd e.1 .K S a it J J0,4.) (Phone) r, 12 1-4 0 - 0 9'y 0
(Contact Name) r;c ('rte L s, ( ,f (Phone)
(Address) 1.G ?-S Pc.f r ( 3 W �t&v a yt 14"N SS31FI
TYPE OF WORK 0 New ConstructionPorch Die-Roofing DRe-Siding DLower Level Finish 0 Fireplace
['Addition ['AlteraDUtriity Connection
CODE: DI.R.C. DLB.C. 0 1
Type of Construction: I II UI IV V AB
Occupancy Group: A B B F H I M R S U PROJECT COST/VALUE $ )C)DD 03
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
above-mentioned paoperty that alli ourform to all existing state and local laws and will emay I am the owner authorizedaha agent far the
official can revoke this pa�tt for ��.:/'. Ittoe�10 therdanee wittt'sub* iui&dean: I am aware that the building
Mist I era the city ol&ctial err alms may enter upon the pmpuly to perfarmnEeded inspectdoos.
X ( c - f 3q'f4.0. X123 /Y
Signature Contractor's License No. Date '
4 • ,
Permit Valuation 3, C.)0 G_ 00 Park Support Fee #.., $
Permit Fee
$ 08 . I' SAC # $
Plan Check Fee $ t 7 3 1rs Water Meter Size 5/8";1"; $
State Surcharge $ I +5 Pressure Reduce $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace P. i• Fee $ TOTAL DUE $ (4-1-
(
1
This Application , Your Buuiding Permit When Approved �
• Paid I �- t R pt No. l(• c`]
�� 1 Zia. t Date 13 (� By 1
:,..R i i l;., Date
rest in the above
This IS lu eicitify that tbr; application and aaaompanying documents is m accordance with the City Ting Ordinance and may Proceed-as requested. This dawneat
C)
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate ofst be
issued.
must
1Planning Ditector 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