HomeMy WebLinkAboutBUILDING PERMIT 14-0017 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 3/Z51/Co
ADDRESS /55-F5- / 'l(
6:,,
OWNER CONTR.
PHONE NO. PERMIT NO. I7 -/CI 3
❑ FOOTING 0 PLUMBING RI 0 EXJGRAD/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 ❑
COMMENTS: Nett µ ��.,r
(1 L se_ 'P.A. "Pij co
i0 ‘,Lerci'.'du.(
WORK SATISFACTORY,PROCEED
V sp
CORRECT A •N AND PROCEED
CORRECT • CALL FOR REINSPECTION BEFORE COVERING
I specter. i Owner/Contr.
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
Ic
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT / 7-
4IHNeso11' I. White File
City d PERMIT NO. /L�. (7
.
2Pink ll
3 Yellow Applicant
se type or print and sign at bottom)
ADDRESS ZONING(office use)
/sem`/S 111111 C,i „--„ie.-le pr%or- 1-4011 .-E t..4 v..2 SS"-?7,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 1—co y J o t ()E 1Z (Phone) 6/o7'9ic/' 3996
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ['Re-Siding OLower Level Finish 0 Fireplace
❑Additon[ 'Alteration 0Utility Connection
lu
ODE: DLR.C. ❑LB.C. /��f,C —
e of Construction: I II III IV V A B
XMisc.
PROJECT COST/VALUE $
panty Group: A B E F H I M R S U
(excluding land)
tvision: 1 2 3 4 5
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 per - rtr.use Further ,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _. ij �', i`i
Signature Contractor's License No. / Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size /8' I"; $ gee .00
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 $ ,In `t
This Applica ecomes Your Building Permit When Approved Paid / e6 . C v eceipt No. /7(),S 70
F. Date Date / `/,/y
Bu .na Official Date
1111 is to certify t at 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 t e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Ceruticate 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