HomeMy WebLinkAboutBuilding Permit 14-0932 DA Er TIME
3 7
CITY OF PRI' __ t
INSPECTIO<• 16596 RAMSEY
ADDRESS
MILLER'S PROPERTY MANAGEMENT,
INC.
OWNER _RP_Rnnf 14.-(1487
PERMIT NO.
PHONE NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FRRANDATIONAMING 0WATER HOOKUP
❑ F0 FIREPLACE RI
PlJLA10E FINAL
❑ INSULATION 0 SEWER HOOKUP 0 0 FIREIREPAIR TSL
❑ FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS:
s
❑ WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
it
0 CORRECT • • ,CALL FOR REINSPECTION BEFORE COVERING r.
Inspector: Owner/Cont
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
ration
1311413114CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'a
Ormx q. y cJ
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT
U
40HN,ses
t. I. White File
2. pink City PERMIT PERMIT NO. (4,co
3 Yellow Applicant
ease type or print and sign at bottom)
ADDRESS ZONING(office use)
7 'S--9'6A(krtAA
LEGAL DESCRIPTION(office use only) /�1,
LOT BLOCK ADDITION PID • aq q- v✓, 4)'
OWNS //� (Phone)
(Name)J� /T \
(Address)
BUILDER 1/�f iii/s `el� 4- 01�t,ii{1�' u4/ lam.-' (Phone) ./. ..2- S.--32- 67P 6
(Company Name) (5
(Contact Name) , e I r�
{f (Phone)
(Address) .S7a J 1,1/\(,0-4. r't- )v / ! S,
TYPE OF WORK ❑New Construction ❑Deck ❑Porch -Roofing ❑Re-Siding ['Lower Level Finish Ci Fireplace
❑Addition ❑Alteration ❑Utility Connectio
L—
ODE: ❑I•R.C. ❑LB.C. 0 Misc. •
��� 112
pe of Construction: I II III IV V A B PROJECT COST/VALUE $
cupancy Group: ABE F HI MR SU (excluding land)
ivision: 1 2 3 4 5
I hereby certi' 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,,,,C ed property a • 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 t . : '.r Just ca se Furthermore,I hereby agree that he city offic' ora designee may enter upon the property to perform needs insp-2-
i'ns.�
X �. / /1£ 71c9 ?
(( a
-
Wir Signa e
Contractor's License No. Date
Permit Valuation
Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee
$ Water Meter Size 5/8"; 1"; $
State Surcharge $
Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
""-
Sewer
Sewer&Water Permit Fee $
Other $ .�S
Gas Fireplace Permit Fee $
TOTAL DUE $ lc(
Receipt No.
This Application Becomes Your Building Permit When Approved Paid 7S- 7O` / l
Date 9_z—Jy i?
BY 4(.
Building Official Date 1`/
is is 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
hen 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,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372