HomeMy WebLinkAboutBuilding Permit 14-1375 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 31 /(5
ADDRESS 4zi
apactv,p-,04.4.,_,
OWNER CONTR.
PHONE NO. PERMIT NO. / LI --I 3 ?5-
❑ 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
dir-FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: Wiu49.4stoc
\.... 0- ____,01-- --ti (- 7(..
)LWORK SATISFACTORY,PROCEED
❑ CORRECT •TION AND PROCEED
❑ CORREC Lair/ K,CALL FOR REINSPECTION BEFORE COVERING
lirInspector: IOwner/Contr.
V II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
MVO TI
.
of PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U �j
�I 4P I. White File 7NNEB� 2. Pink cityPERMIT NO.k.¢ /r-:� -4--
3 Yellow Applicant ,
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
9 3a-3- COo \rT\a. \ ) Lcx.N...z 'O
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 1(Name) 04.1 C C1(\k.A-14- e. (Phone)tO I O96J3- 930 f
(Address)
BUILDER(Company
� \errP_ _Q rVYNOlS1,«.4.t'�� (a5I—a h1 ua aS
(Company Name) � (Phone) �,(�
(Contact Name) (i Q CJ 1 11 (Phone) 1J'lial �
(Address) 1%90 C:��L1\'t'1 1�L� �" e..S , �� _l/�l l'e i m) SS J 13
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Lev I Finish ❑Fire Ia _1.(3 C
['Addition ❑Alteration ['Utility Connection 1 �� '1.57 Lt.ta�S a �(�tiJ l J
CODE: DI.R.C. ❑I.B.C. ❑Mi r`r -eJ( �+(3 L /Yt tJ •
Type of Construction: I II III IV V A B f/ -.
Occupancy Group: ABE F HI MR SU
PROJECT COST/VALUE $ 39 j a7
(excluding land)
Division: 1 2 3 4 5 i
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
abov'e- entioned 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
officcan revoke this per just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
owe", S c)3O la ac i Y
Signature Contractor's License No. Date
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 $
1
. .
This Application Becomes Your Building Permit When ApprovedPaid i (,� R Ce pt No. 3i7 .
Date j cr, ( Q/ B
Building Official Date 6
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