HomeMy WebLinkAboutBuilding Permit 14-0383 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3/9/aP
ADDRESS 2868 SPRING LAKE
SMALLL TOWN VALUES CONTRACTING,
OWNER _ INC.
PHONE NO. Ra-Rnnf 1/I_f12R2
❑ 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:
cep - .0-.
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE •RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL L -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSHOTI
(cPliji; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
., en en AND UTILITY CONNECTION PERMIT '2-0I(4
1'11'NE5°V* I. White File PERMIT NO. 1
2. Pink City
3 Yellow Applicant ��vV//
qi
ase type or print and sign at bottom)
ID
ADDRESS
ZONING�(`o�ffice use)
413,4S s. . NF/ LA1�6 fD �l c�1�
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID OS-- 133 f) 62
OWNER
(Name) �Val'F, t•ttt (Phone) °i52 22(41 2-
(Address) SAM AS Ae oVE.
BUILDER
(Company Name)Sria LL '1 ot,.2/0 VA t.MES 6, ,Acrwr,r/A-(Phone) 6 - GZss
(Contact Name) RIZMA
(Phone) I %' 793 7/S--
(Address) 17070 GeF14R. C'f• FAPMI/06- A" tlnl' .SSb2
I
TYPE OF WORK ❑New Construction ❑Deck ❑Porche-Roofing ❑Re-Siding ❑Lower Level Finish IDFireplace
tion
CODE: ❑I.R.C. ❑I.B.C. ❑Alteration ❑Utility Conne"
El Misc.
e of Construction: I II III IV V A B PROJECT COST/VALUE $ 000
pancy Group: ❑Addition ABE F HI MR SU (excluding land)
41u
vision: 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-mentioned property and ra all co tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official a revoke this permit or jt t caus hermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
III
c:;;;a2 Signature Contractor's License No. L7 ate
Permit Valuation Park Support Fee # $
Permit Fee $ 7Lf i5- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 5,o0 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 $ 11n e
This Application Becomes Your Building Permit When Approved Paid 'Fri, /7 57 Receipt No. 17 i )83
Date 5:lck0 • 1,--f BY 5rt4 t..4.)
Building Official Date
111 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
ted
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