HomeMy WebLinkAboutBuilding Permit 14-1337 DATE TIME
CITY OF PRIOR LAKE Ll 2„�
INSPECTION NOTICE SCHEDULED t t
ADDRESS
OWNER CONTR.
PHONE NO. 3
O PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
0.1iNAL 0 PLUMBING FINAL 0 GASUNE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: �' -�a �-a►-a.�C
0K efb
/WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector.43iy--= Owner/Contr.
CALL 44T-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
F PRto CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
® , ` "`
,1. e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / , , l
e. 4 F ,'' Z s 4
AND UTILITY CONNECTION PERMIT
Uf
lHNESoiP • I. White File
2. Pink City PERMIT NO. /4,, /337
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS /� 61
/' �' / CC S ZONING(office use)
/ 5L1 ? 7 3-ICTQn C.. lL( G E
LEGAL DESCRIPTION(office use only) •
LOT BLOCK ADDITION PID
•
OWNER ChU4k W 1 q
(Name) /y (Phone) S `/2 3? 7
(Address) /6 q 71. 54 r i 6 n Ci 1'114 5
BUILDER THD At- Home Service, Inc, ,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone) 962 13t1S • GC. V 7
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) J 0 di
(Address) Lic#CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 1:1Fireplac
❑Addition ['Alteration ❑Utility Connection $ ion e d o W r!
p CODE: ❑I.R.C. ❑I.B.C. ❑Misc.-e V l i i19 C I J) nn(7 //�
Type of Construction: I II III IV V A B /Q o e •
Occupancy Group: ABE F HI MR SU
PROJECT COST/VALUE $ / 7 4 i'
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 1 am the owner or authorized agent for the
above-mentioned property and khat 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 mit for just c use. urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
CRaI. t a 57 ����5 �r 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 $
Pril
This Application Becomes Your Building Permit When Approved • Paid I q. 15f eipt No.
Date /� ,r/L B
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