HomeMy WebLinkAboutBUILDING PERMIT 14-1317 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 404/1 L
1
ADDRESS S2:7? -5(oaks CCS
OWNER CONTR.
PHONE NO. PERMIT NO. /9 " /3/
❑ 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
CAS:
-FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
/❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 9,-k1/47/
cp5P.
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK,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!
u NOT!
4 PR/04, 4`7? 1-S--
4,
�LV�/�3��
'4,'AN�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
tzd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9
AND UTILITY CONNECTION PERMIT•
l '.aff�'
4fl�'NES��
I.White city
Fite
i. Pink PERMIT NO. 14. 131
(Please orprint and sign3.Yellow Applicant 4
type at bottom)
ADDRESS ZONING(office use)
,brooA 6.��ke., P\)
LEGAL DESCRIPTION(office use only)
LOT LOCK bi(1)1_,ADDITION ��'It � 1� , a�^ vltp° bt( 0
��� �
PID l
OWNER Oe-
� � �/_ WA(Name) '1) deLfx,L(J (Phone)
(Address) at f l a,D ite ( tJC PL11 (/V . 5 J�7"d''
BUILDER
(Company Name) W U/1 c6)) 1,( fQ _
(Phone) eo S 1 T7-t) T---)1
(Contact Name) P ei Liu. (Phone) &57" ._JO I
(Address) (902/I -I / / lfi r / C-i At'J1 P ) M/\[, ,j '/U `(
TYPE OF WORK 0 New Constriction ❑Deck ['Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection (�,
t 2. � Lt�S (� LSC LSI (/1 ` Oi 7LGy
ODE: ❑I.R.C. ❑I.B.C. '�Misc: J v
of Construction: I II III IV V A B ����^rrau
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ / d J .
Division:4110,,p,
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 d that all constructs n 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 this pe t for just c . F ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
6C3s- 617 t o= 3/-( t
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ ✓f L/ 7 SAC # $
Plan Check Fee $ ! r Water Meter Size 5/8"; 1"; $
State Surcharge $ LC
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 $ ---/Cf.-7S-
This
C f-7S-This Application Becomes Your Building Permit When Approved Paid 11 , 15 Receipt No. I L(4-
Date i 1 .. .. /(4-- Byy'l,t i_i
Building Official Date
111 's 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
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
sued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372