HomeMy WebLinkAboutBUILDING PERMIT 14-1126 DATE TINE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 (CQ
ADDRESS l L B (c- W �QgS�r
OWNER CONTR. r
PHONE NO. PERMIT NO. )q-. (j 2L
❑ 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
)ELFINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: riCI 9 ,
e1,a5p.1/47; �Z
,LVVORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT A 0-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
At* PR�o,P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
.� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
ItviAND UTILITY CONNECTION PERMIT [o . i 0. ( Li
~iNNE S01P I. White File t �
2. Pink City I PERMIT NO. IL( /
se type or print and sign at bottom) !r
Ilk
DRESS
i
ZONING(office use)
( Y,� s� 1, 1 cL /,gess T( 3 Yellow Applicant
/.l
SG S
LEGAL DESCRIPTION(office use only)
LOT ) BLOCK / ADDITION iL (td Vit,S,_ Ps PID 3(5 ` vl "v
OWNER
(Name) 70 v1 V ki2b '
C�� (Phone) 7 .5-?' D-SC (c v 3 G
(Address) / (e' 2 v 5- L,-. 1 d r/tt 5s %/- Sr.
BUILDER /
(Company Name) Cc,6-1—e 5-/r a ,,....,,,5 kc�. CC,,-Lce..1--e,__ (Phone) 62. t 2_ e11 7 4! V '7 a
(Contact Name) 6..Lc-f7 C "�ls�
(Phone) � 1 Z 5 S `i'Se 70
(Address) p aK /C .7be//z/%Lv /1714,, s--c...36 /
TYPE OF WORK ❑New Constion ['Deck ['Porch ERe-Roofing ['Re-Siding ['Lower Level Finish El Fireplace
❑Addition Alteration
['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Fir(-,vt+ 5-kP e Cc_tne-t.
pe of Construction: I II III IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ cf. D O
ision: 1 2 3 4 5 (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-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 revoke this permit for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X D-t /0// / y
Signature Contractor's License No.
Date
Permit Valuation 1 Park Support Fee # $
Permit Fee $ 1•C 71 C SAC # $
Plan Check Fee $ SID°
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&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ Lf(,'I )
This Application Becomes Your Building Permit When Approved Paid 14(, [ Receipt No. 1 �l!
Date (0
_ t(_f By 7:5lAcj
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
Fcd
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
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