HomeMy WebLinkAboutBUILDING PERMIT 14-1275 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED 24/ /47
ADDRESS 1 9,1 `l S
te
OWNER •
CONTR.
PHONE NO,
PERMIT Np, 1C� ^
❑ FOOTING
❑ FOUNDATION
0 PLUMBING RI `—
° FRAMING 0 MECH RI ° EX/GRAD/FILLING
❑ FRAMI G 0 WATER HOOKUP 0 COMPLAINT
FINAL ° SEWER HOOKUP ° FIREPLACE RI
° PLUMBING FINAL 0 FIREPLACE FINAL
0 MECH FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION
COMMENTS: 'oak, °
DtA:,
111 a
k . 1t4tri• ACC-2S
• WORK SATISFACTORY,PROCEED
• CORRECT AC •N AND PROCEED
• CORRECT O-1
CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Cont,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC
CODE REQUIREMEN?SARE FOR YOUR PERSONAL
RSONAL gE,uTff&SAFETY!
humor,
OF PR/o4. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A c. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
rii AND UTILITY CONNECTION PERMIT /1 `IT(CF
44NEscio" I. White File
PERMIT NO. )L/, /D S
3
Yellow Applicant
ZONING(office use)
se type or DDRESS print and sign at bottom)
1'�H►I� Ems- --- Ne 2. Pink City
x.50
LEGAL DESCRIPTION(office use only) , }tl
LOT BLOCK ADDITION PID CS, ► (S � v
• v 3 -0
OWNER n
(Name) e,,‘):N iliop W k C (Phone)
(Address) 1`i945 CS f4"l'E PNG ?i-,c,> ._ j K t A,1.1J SS'37,9,..
BUILDER
(Company Name) 7----S- C..01..r_}TiLs...,c."-ka r-) r 1/..)C.- (Phone) (ea-9-90-(07 49
(Contact Name) Q,`ISbN iv (Phone)
(Address) \C>.,21- 5- i°El ST. ilv L.T1 1 ZA A I-L'a f M./J SSCa"1`i
TYPE OF WORK ['New Construction ❑Deck ❑Porch ['Re-Roofing ORe-Siding ['Lower Level Finish ['Fireplace
❑Addition ['Alteration ['Utility Connection
lu
I II III IV V A B
CODE: �I R.C. ❑I.B.C.
Misc. W � �
e of Construction:
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $
vision: 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 proper 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 revo is per 'it for Just cam urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Ca c- 51 y t-1 \ I \( i-711 LI
. 11111P 115 re Contractor's License No. Dat
Permit Valuation `� Park Support Fee # $
q )
Permit Fee $ ‘ q,'
SAC # $
Plan Check Fee $ 5'1° 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 $iq._ c
Gas Fireplace Permit Fee $ TOTAL DUE
This Application Becomes Your Building Permit When Approved Paid --7 (- 7S---' Receipt No.
Date i , l-7.. (L By C`��/A-VA
Building Official Date
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
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i
icd
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