HomeMy WebLinkAboutBuilding Permit 15-1341 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 14/ 14a
ADDRESS 15" I 7 /ie t C- e
OWNER CONTR.
PHONE NO. PERMIT NO. 1 _ 13 LI
1
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION0 EX/GRAD/FILLING
FILLING
0MECH RI 0COMPLAINT
❑ FRAMING
0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL
❑ SITE INSPECTION0 GASLINE AIR TST
0MECH FINAL * fik°
COMMENTS: C�c.I k D c
o K -kz
WORK SATISFACTORY,PROCEED
❑ ORRECT ACTION AND PROCEED
❑ CORRECT W K,CALL FOR REINSPECTION BEFORE COVERING
Inspector� Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
msnorr
of PR./0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4.co. CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT fi3 , /'
KESO )ir I. White City l /J
File
2. rick PERMIT NO. /5 43
0
3 Yellow Applicant
ase type or print and sign at bottom)
DRESS ZONING(office use)
I 1s 1'3.3 E 11-ty-N C:% c c,k-e... 5 2 isz
LEGAL DESCRIPTION(office use only) / ,, `f',/
LOT(' BLOCK 3 ADDITION 't/ - l�f4 PID c- /bS -o Z-D
OWNER -r-
(Name)
LJ
(Name) IGm -(2_ CC) Irl (Phone)CQ I 0••• -IP ' Xa-1 I
(Address)
BUILDER
(Company Name) nt,L CL\ � -e(gyp r' (Phone)
- l,S l -cl(D "LlU$
(Contact Name) y t3 (Phone)
(Address) 19 oa b C V. , . "C" L . Za S e LA k, C, IrYl r S S 11-2
TYPE OF WORK El New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace l
❑Addition DAlteration ❑Utility Connection �„n`„ 5 �nO�y�wS Cw1),., c QJ�()S 7��
CODE: ❑I.R.C. DLB.C. ❑Misc. `" /`__�f4— Q(7
Type of Construction: I II III IV V A B !` 1 co,
Sision:
upancy Group:
ABE F H I MR SU
1 2 3 4 5 PROJECT COST/VALUE $ /01 7 3o
(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-men oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official ca evoke this permit ust cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed mspec ons.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ `/ SAC # $
Plan Check Fee $ 10 13
Water Meter Size 5/8"; 1"; $
g $
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 $ ,-- /lc-
'15
lS
Gas Fireplace Permit Fee I $ TOTAL DUE / $
This Application Becomes Your Building Permit When Approved Paid-7 I ./ Receipt No. -(u v/ ,
Date By
."-b/
Building Official Date
Iiiis 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 mist be
d.
Planning Director Date Special Conditions,if any