HomeMy WebLinkAboutBuilding Permit 13-1044 DATE TIME
CITY OF PRIOR LAKE SCHEDULED J ---
INSPECTION NOTICE
ADDRESS 1 4065( --DJ,,( I te`'
OWNER CONTR.
1/' 5—t,e,
PHONE NO. PERMIT NO.
I
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATIONRAIMNG0 WATER HOOKUP 0 FIREPLACE RI
❑ F 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL )a +-,.r...%84-1-
COMMENTS: _
1 "`1
il
iI/
ORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
____LIInspector: Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
u$1'0TI
of PRIG46
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�. c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 01-20- 3
+0,NBsol,
I. White File
2 Pink City I PERMIT NO.l (9 44
type or print and sign at bottom) 3 Yellow Applicant
Illse
DRESS
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID c3 — V-1— 053 -0--0 I_
OWNEi I
(Name) )�C�V'C E(/$@,.-,
(Phone) �Z A ^7114/4
(DI
(Address) I 11:10 9j(p .'" t;r1 ( u
BUILDER
(Company Name) (Phone)
(Contact Name)
(Phone)
(Address)
T
e of�o coon:YPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing41
[Me-Siding ❑Lower Level Fini
i1u
ilI
❑Addition ❑Alteration ['Utility Connection ^,( ❑Fireplace
CODE: R.C. ❑LB.C. ❑Misc. / � Q �
I II III IV V A B
panty Group: ABE F HI MR SU ��/ ' 1 �'
PROJECT COST/VALUE $
ision: 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 opetty 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 revo• his emit for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X (��f/J_
Signature Contractor's License No,
Date
Permit Valuation Park Support— Fee # $
Permit Fee $ .14.7 5- SAC #
Plan Check Fee $ Water Meter Size 5/8"; I";
$
State Surcharge $ ce0
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 $ dr 7c-
..
This Appi,`a i n B comes Your Building Permit Wh Approv d PaidC.g a
Receipt No. '' tj
klI �_ ( /3 Date C{12a ►l3 By yVL�.)
But dint: flicial �T D, e
11110s 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
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