HomeMy WebLinkAboutBuilding permit 16-0024 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I to
ADDRESS I -7o the M.c444 liesiveJ
OWNER CONTR.
PHONE NO. PERMIT NO. I C[
❑ 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 ��
COMMENTS: 5`tz'
(3 )4- 'e
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspectt� �� 4 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
msHOn
of PRj CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT �� I/
���NES���
se type or print and sign at bottom) I. white File PERMIT NO.J/„ a D
2. Pink City /Y'
3 Yellow Applicant
03 4
ADDRESS ZONING(office use)
/ 7OY ? maple toot, 5r
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID .?5. '/2Q _ ,& I—O
OWOWNER J e r 0 11 .Q.. 5 A e 1/ (Phone) 9 s7 j i321.. g/6' 9
(Address) / 7 0t ii / r) Q p l L Z a /1 d
BUILDER THD At- Home Service, Inc,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone)
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) 471 2/311 S • 4 o Y7
(Address) Lie#CR268257 Ph. 763/542-8826 J v d,
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition DAlteration ❑Utility Connection
I II III IV V A B
ODE: VII .C. ❑I.B.C. ❑Misc.
of Co struction: n
panty Group ABE F HI MR SU PROJECT COST/VALUE $ l Art L C
tvision: 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 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 revoke this permit for ju cau e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
XX •••-•"-----"- ----'"--------/ CR26 , 217 itilil4
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC • # $
Plan Check Fee $ C' Water Meter Size 5/8"; 1"; $
State Surcharge $ l OTD 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 $ /04,06
This Application Becomes Your Building Permit When Approved Paid 104 c o Receipt No. .17Zel'
Date `7); 1C1'f_ By
Building Official Date
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
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
4646 Dakota Street Prior Lake,MN 55372