HomeMy WebLinkAboutBuilding Permit 14-1270 DATE TIME
1
CITY OF PRIOR AKE
NOTICE NICE SCHEDULED \24 —
ADDRESS
OWNER
CONTR.PHONE NO. PERMIT NO. i"l 1Zy
1
p FOOTING 0 PLUMBING RI 0 EXiGRA�IFILLING❑ FOUNDATION 0 MECH RI •�p
C
O
MPL
AI
NT
❑ FRAMING0WATER HOOKUP 0 FIREPLACE
RI I
p INSULATION 0SEWERHOOKUP FIREPLACE FINAL
NA
L
❑ FINAL 0 PLUMBING FINAL 0GASLINE AIRTST
p SITE INSPECTION 0 MECH FINAL (�I n =
i
COMMENTS:
OV
)/WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
OwnerIContr:
Inspector.
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN &SAFETY!IVTSARE FOR YOUR PERSONAL HEAL
TH REQUIREMENTS f
CODE REQU
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of PRlp�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
., x AND UTILITY CONNECTION PERMIT • / / I r!� I
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��NNEgO�� 2. Pink city PERMIT NO. / ---1-0
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
L/ J7 Pt-E s-c. __-- E
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /I/� (,12-3(d.co- ;`
(Name) V(J��tOLV. krk‘kIA`ei�.21� (Phone)
(Address) GLv1...e.-
BUILDER ,A
(Company Name CX.vvk l 6Q- I I- . ��"\ --St- (Phone)
(Contact Name) V -- ✓� (Phone) ` O` cf(3— C '�1
(Address)
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace
['Addition ❑Alteration ['Utility ConnectionMise. l{{ A �/ CJ_
fV l�l� `-�v �
CODE: ❑I.R.C. ❑I.B.C. d!'>
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ f�oc'+ •
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5 l
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 revok,;.hi it for ust cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
' 3016
r tom`>` .
X �► Date
—Signature Contractor's icenseNo.
Permit Valuation . Park Support Fee # $
Permit Fee $ de 7ti,, (((( -- 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
$ 0 i'N
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid 7C{ 25-- Receipt No. n )
Date 11- I d- .( 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 Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372