HomeMy WebLinkAboutBuilding Permit 14-1131 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED c3N/5--/
/7
ADDRESS 31115 4.��" -
OWNER CONTR.
PHONE NO. PERMIT NO. )q - (1�(
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ 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 F L4 0
COMMENTS: i ow
aLse C-01-L' cCe, ,
WORK SATISFACTORY,PROCEED
O CORRECT CTION AND PROCEED
O CORRE' •- ,CALL FOR REINSPECTION BEFORE COVERING
Pe
Ins ctor. IP Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
II
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F PRlO4. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
®A•,,,f,„,„�" e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
i.a.' !, r AND UTILITY CONNECTION PERMIT C�
kfNNESOo* I.White File PERMIT NO. jjj
3 Fink City // I l ) /
3 Yellow Applicant / /
(Please type or print and sign at bottom)
ADDRESSZOTG
(office use)
3 9 7 5 iii ad ') Po n el 'ret N 4"
LEGAL DESCRIPTION(office use only)
LOT BLOCK 3 ADDITION Jerr// 3101,7„. / -0a?,
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OWNER Cl o h n 0 n (Phone) 9's?i 2 7° • �/ 0 0
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(Name) -/ ,/
(Address) 3 17 S #//( Q (,x ( 1) Pon d ?r-ra // (V•IE
BUILDER THD At-Home Service, Inc,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone) 9 12( 3'15' • G0 tf 7
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) J O eh
(Address) Lic# CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ['Deck [Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition DAlteration ['Utility Connection ,�/
CODE: ❑I.R.C. ❑T.B.C. Misc. . W s n do W Pilo /gain /!i�'f /41
I
Type of Construction: I II III IV V A B e x!?41 n 1 O/0 t n ,It ¢1 3. ?0 9
Occupancy Group: ABE F HI MR SU PROJECT CO /VALUE $ j
(excluding land)
Division: 1 2 3 4 5
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 revoke this ermit for just at Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
— .-- .J e. cRaL 8 s'7 !o llr y
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $ .
Permit Fee $ (t/105; 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&WWater Permit Fee $ Other $ ���
. Gas Fireplace
`lace Permit Fee $ TOTAL DUE $"!/�
. This Application Becomes Your Building Permit When Approved �'i Receipt No. aL)
filli
•ate /0q, By
I.
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
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