HomeMy WebLinkAboutBuilding Permit 14-1024 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED
11— 1y
ADDRESS S-) —�—
OWNER ,A.� l' �..�_I 2 L-
CONTR.
PHONE NO.
PERMIT NO• 1.1... ...
❑ FOOTING ® l--`
❑ FOUNDATION 0 PLUMBING RI
❑ FRAMING ❑ MECH RI ❑ GRAD/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT
❑ FINAL ❑ SEWER HOOKUP ❑ FIREPLACE RI
❑ SITE INSPECTION 0 PLUMBING FINAL 0 FIREPLACE FINAL
0 MECH FINAL 0
GASLINE AIR TST
COMMENTS;
'ef TRK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inshecto.
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wSNOT,
Ea PRION CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /` ,� ,.
��HNESo�� I. White File
2Pink City PERMIT NO. 1 A
3 Yellow Applicant _ y{
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3 5'l U i1la,L, Z c -r'co�t\ 5. W , / / 13
LEGAL DESCRIPTION(office use only) /
LOT LOCK ! ADDITION 41/ 41-14{A- t!' / /4. ))�� PID "/ 'a
OWNER Name `�(�1,Y1�6 Awl p Co\ (Phone) 59 (NI" O II 3y
(Address) J1
BUILDER ,
�} , (_
(Company Name 'e5..l) 'eX QA �� (Phone) 5 1 FJ� "f
(Contact Name)�/t /� ►/' ' ' l,, 1 (Phone)
(Address) 1 `01 O W: , CIL uue s -F,, ,_,,,i Ile, myv 551)3
TYPE OF WORK ❑New Construction ['Deck ❑Porch ['Re-Roofing ERe-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility AA Utility Connection ` l C (Y- SCA-1C 1 n -t-/)‘
J %'5 '
CODE: ❑LR.C. ❑L ❑Misc.
B.C. p ��
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ )7i33-45
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby c rt.ty that I have furnished it ation 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-men u.ned property and that all con•ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official cant yoke thi .ermit for jus can Furthermore,�reby agree that t e city offici ora designee may enter upon property to perform needed inspections.
I X / 1111
1 Gl ..lJ_/A/] /7� VV
Signature Contractor's License No. to
Permit Valuation 7 Park Support Fee # $
Permit Fee $ fs q J SAC # $
Plan Check Fee $ / IA v a
Water Meter Size 5/8"; I"; $
State Surcharge $ 6 r 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 $ t f c '
This Application Becomes Your Building Permit When Approved ( " .
Receipt No. ri 9 9'
atec�I / < < 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 Occupy ncy 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