HomeMy WebLinkAboutBuilding Permit 14-1154 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE
SCHEDULED 3 2 T t _
ADDRESS (40 2 ° L
OWNER CONTR.
PHONE NO. PERMIT NO. I({— (`SY
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 COMP
❑ FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE
-FINAL 0 PLUMBING FINAL 0 FIREPLACE FINAL
❑ SITE INSPECTION 0 MECH FINAL 0 GASLINE AIR TST
COMMENTS: • .1
agIENIn
• 111
maw
WORK SATISFACTORY,PROCEED
CORRECT TION AND PROCEED
CORREC r,-K,CALL FOR REINSPECTION BEFORE COVERING
I Pector. I�
Owner/Contra
CALL' 7!.:50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
NS OTI
of Ptti � CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
A. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE t Q
x AND UTILITY CONNECTION PERMIT
�INN
BSp��� I. White File PERMIT NO. r
2. Pink City �1
3 Yellow Applicant � r
se type or print and sign at bottom)
54,
Ilk
ADDRESS ZONING(office use)
14025 tR. c��(2 Sl. �lE .
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER ,Y�j (4,L� r-45-- g/ 3'
(Company Name) Ck��t i�/kL c �?t-t p�� (Phone) it-45--- W
(Contact Name) -1-6-70-414 >5&1ik-79.Sx)r`f.) (Phone)
(Address) i'( (Q 'Vit-LZE -/ (A/D &``v2),
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility Connection qq��
411
CODE: ❑I.R.C. ❑LB.C• Misc. �� �d./���
pe of Construction: I II HI IV V A B
1 g
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ivision: 1 2 3 5
(excluding land)
I hereby certify that I have furnished formation o th' ,pplication ich is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentione. ,d th 1 cons -ucti. onform to I existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otFicia "' it ..4 cause urt• . •,I hereby : ee that the city official or a designee may enter upon the property to perform needed inspections.
X �: 'r £� "_ " s' 13c- 777347 ldi s-//4
��.,._•.•- Contractor's License No. Date
--..--......' --olgqi
Permit Val .:1041 Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 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 $
This Application Becomes Your Building Pennit When Approved Paid / 1 -9 *12.577
' Re ipt No.
Date /a ,iii-7?-)
Building Official Date
is 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
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