HomeMy WebLinkAboutBuilding Permit 14-1037 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED
ADDRESS is- ._3/ Pdy /L 1, ,
OWNER CONTR. h/,-� �"'
PHONE NO. PERMIT NO. 14c.
13
-7
❑ 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 FINAL \�`d
COMMENTS:
Qyz
$WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector.�(c� - Owner/Contr.
CALL 447-9850 FOR
THE NEXT INSPECTION S EC
TION
24 HOURS IN ADVANCE.
ANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRI%
0CITY OF PRIOR LAKE BUILDING PERMIT; Date Recd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ti
��NNESO�� I. White File PERMIT NO.j� `C' -7
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
X 31 n, A .
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER .�}/�
(Name) � ci� f k l (Phone) q 5)--(-1446--44.....P
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace
['Addition []Alteration ['Utility Con ction
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B •
PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (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-mentio• d property and that a u nstruction 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 r.kke thi permit for jus' .e -irt - ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
X �, 1. 1_. .i ---'.....iiia �r
1r —
I --Si:t re 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 $
f r7
This Application Becomes Your Building Permit When Approved Paid ( � 'L� R eipt No. ��� �—
Date L'l til ,
Building Official Date l
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