HomeMy WebLinkAboutBUILDING PERMIT 14-1318 CITY OF PRIOR LAKE DATEITIME
INSPECTION NOTICE SCHEDULED "7/257 f(�
ADDRESS ! C � / , dl
OWNER
CONTR.
PHONE NO. PERMIT NO. —(30
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
eics, /
41-
FvC� i�l�el'jot ��
114-WORK
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT • K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
I/
C 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(-c PRI CITY CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE A ` `
X
ril AND UTILITY CONNECTION PERMIT c
r
INNEsOlt.Illp
I. White File ! 13(
2. Pink City PERMIT NO. � V
3 Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
3 5 CAassar.d roe � �e,e,� QC
LEGAL DESCRIPTION(office use only) ,�
LOT BLOCK ( ADDITION -�l,G f l�,a'1 Qt((.9 i.`-- ')y c n I PID a5 . G13 o b5 JI
OWNER —bQr1 `J Q��� (Phone) -.9'31-3I(Name)
(Address)
BUILDER
(Company Name ' e _LA)CLn 9VY -C ,r ^ (Phone) IDS) -"Ra "403-15.'Up-
(Contact Name)g� co‘^ l (Phone)
(Address) /a b -KA `C' 4 � -I7�U�t I k! � SS I 13
TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility Connection }�d(�l '3 LA'S' 3S (...).j),i•.
CODE: ❑I.R.C. ❑I.B.C. �❑Misc. S 3i 1^�Q �
iiirc
pe of Construction: I II III IV V A B PROJECT COST/VALUE $ WrieL
•
cupancy Group: A B E F H I M R S U
(excluding land)
ivision: 1 2 3 4 5
I hereb ertify that I have htrni• 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- ntioned property and 11 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- revo.•this permit f, cause Furthermore,I hereby agree that the city officia a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee # $
Permit Fee $ ._ l` - SAC # $
Plan Check Fee $ l" Water Meter Size 5/8"; 1"; $
State Surcharge $ 5 LD 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 $ I� b
Y
14.15r
This Application Becomes Your Building Permit When Approved Paid Receipt No. I(DS
Date 1 I .6/:.-C, i By //t...4...LA....)
Building Official Date
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
n 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.11
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