HomeMy WebLinkAboutBuilding Permit 14-1394 DATE TIME
CITY OF PRIOR LAKE 3 e 6,t45-"
INSPECTION NOTICE
SCHEDULED
ADDRESS
3545 lScAtAJD 'rl ! Gt ,
`�'
OWNER CONTR. .
PHONE NO.
PERMIT NO. _____1+___,„..13-
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
p FOUNDATION0 WATER HOOKUP 0 FIREPLACE RI
p FRAMING 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL
❑ NALATION 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: i N D O NS ,�
4 l
S IA I
RK SATISFACTORY,PROCEED 7❑ CORRECT ACTION AND PROCEED
0 CORRECT O ,CALL F 3' REINSPECTION BEFORE COVERING
4°°°°' r
Inspector: Owner/Contra
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
I NSNOTI
C
,PR/,o4, CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
A. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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•
�. white File I PERMIT NO*
2. Pink City
(Please type or print and sign at bottom) 3 Yellow Applicant
ADDRESS
3 5 4 5 2-. /.0 n d VII L ZONING(office use)
C' r < (' . ��
LEGAL DESCRIPTION(office use only) .
LOT BLOCK ADDITION
PID
OWNER LL
(Name) C t/l 0
dlip t 1, 1 / 411`'. 5'8 8 4
(Phone)
(Address) 3 S Y 11 .?-s (on Q' V'! r z,► Ci r C (G 4' L)
BUILDER
(Company Name) Pella Northland
(Contact Name) . 15300 25th Ave N. Ste 100 (Phone) 95.>/3Y1* • G 0 y7
Plymouth, MN 55447 (Phone) Jo d•
(Address) Lic#BC645090 Ph. 763/745-1400
TYPE OF WORK 0 New Construction •['Deck ❑Porch
❑Re-Roofing- ❑Re-Siding
DAddition ❑Alteration ❑Utility Connection g ['Lower Level Finish 0 Fireplace ,
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� /Haloes rep /au � 1n.•►� in
. CODE: ❑I.R.C. ❑I.B.C. f*Misc. I Y I ti./n 1 op I/A I I)
Type of Construction: I II III IV V A B / Qu
Occupancy Group: A B E F HI MR SU PROJECT COST/VALUE $ 7 7
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 certify that I am the owner or authorrz.d 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 emit for ju ca e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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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 $ )11,
This Application Becomes Your Building Permit When Approved
• Paid • I Receipt No.
Date 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 Occupancy must be
issued.
Planning Director Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street Prior Lake,MN 55372