HomeMy WebLinkAboutBUILDING PERMIT 14-1200 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 42Kl I(o
ADDRESS 152 c7 i hgo(/
OWNER CONTR.
PHONE NO. PERMIT NO. /q- 11°0
❑ 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 0
COMMENTS: Q•c��or
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0,(65'e ()---a? T(' -el
WORK SATISFACTORY,PROCEED
CORRECT A TION AND PROCEED
CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
UsnoTJ
of PRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
mj AND UTILITY CONNECTION PERMIT
[D.Zl4, (4-1/
çHNBSo�r I. White File
City PERMIT NO. ( i t 12a )
?. Pink
3 Yellow Applicant
se type or print and sign at bottom)
DRESS ZONING
(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID c2c 03C • Dig.. O •
OWNER
(Name) C..X4/ 'fir/ (Phone) 6r2 32 J s7.2 .?-5—
(Address)
s(Address) f..5—..2 s—/ i Gt-.i.•— rho.-moo � - ,
BUILDERt
(Company Name) <. 1� e-. �.k O L (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction DDeck ❑Porch ❑Re-Roofingi2e-Siding ❑Lower Level Finish ❑Fireplace I
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. El Misc.
Type of Construction: I II III IV V A B
ilioui
pancy Group: A B E F H I M R SU PROJECT COST/VALUE $
Sion: 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 for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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x , �/I .- /0.2 ft—/9
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ '1 [ SAC # $
Plan Check Fee $ v °1 Water Meter Size 5/8"; 1"; $
State Surcharge $ tJ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ icr -7s----
Gas Fireplace Permit Fee $ TOTAL DUE $
l
This Application Becomes Your Building Permit When Approved Paid iC( 15 Receipt No. 1 a5 Z 0
Date tt), 2....(4- 1 By a/AA-4...,.J
Building Official Date
4 This 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 11.
en 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
ied.
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