Loading...
HomeMy WebLinkAboutBuilding Permit 15-1352 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED 3 ' )l yo ADDRESS / 7 0 9 4 _.-�'_ OWNER CONTR. PHONE NO. PERMIT NO. 1 S - ) 3 5-2- 0 Z❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT 0 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: , . (7 WORK SATISFACTORY,PROCEED ❑ ORRECT ACTION AND PROCEED 0 CORRECT WORK,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! INSNOT! of PIN CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE i'- xAND UTILITY CONNECTION PERMITrit 1 ei _3_ l 5- +IN...... o�� I. White File PER 2. Fins: city MIT 11). .. .._1.. ..5.52. 3 Yellow Applicant se type or print and sign at bottom) DRESS ZONING(office use) 70 qq 1&,-.SET T/?o*/C cL to . L,,,,,,tc, mss.. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) ///�' i)7 774,47-0-63 ^7 (Phone) 9s2-e-co 0 7 c/3 (Address) / U 9' cG/.--�.5c"T 7 4/L S c.,. , 2Z/`ci,e_ �.�► / BUILDER (Company Name) CO-----7:4C- Ca—,-c7-2 UG 7-(0.--•/./„.4.C' (Phone) 95-Z` ZO/ ?SS i, (Contact Name) L LIC. S ( Z L.'4.--46-44v (Phone) (Address) gse-©Z S7.4,e47-64-,4 L,.. /, /F,, /o�'.4/i66:, �vr^r .,55'?^ 4' TYPE OF WORK ID New Construction ['Deck ❑Porch ❑Re-Roofing 2e-Siding ['Lower Level Finish ❑Fireplace ❑Addition DAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. El Misc. e of Construction: I II III IV V A B PROJECT COST/VALUE $ Z�CSO,vo pancy Group: A B E F H I M R S U isiion: 1 2 3 4 5 (excluding land) 1 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�rmit for just cane Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. / 6Bfg 7/ //—a3 -ice Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; I"; $ 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 $ This Application Becomes Your Building Permit When Approved --Paid-F". Receipt o. -- Date Date Building Official Date s 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 cd Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372