HomeMy WebLinkAboutBuilding Permit 14-1165 31.234-CDATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS son GSL Oci S
OWNER CONTR.
PHONE NO. PERMIT NO. 1
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
T FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 0
COMMENTS: w,t,445C05
(Thi0)(0-7QA
N6 i kkt or hcc.e55
0 WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
�0 11,pCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U
NI TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /D. /7. / 1/
S O4�
N
' ES
I. White File PERMIT NO. /1)/66---
3. Yellow Applicant
ease type or print and sign at bottom) 2. Pink City
/
"3
DRESS / � �C� PM lj / ^� ZONING(oretceuse)
fJ(/I/ A 15 O,
LEGAL DESCRIPTION(office use only) �/ /�
LOT /BLOCK ADDITION SEE �7 PID 975 — / J" -,O tl-D
OWNER / !0! cy, � v �/(Name) (Phone) W2 /.6023
(Address) 3 , r
BUILDER � . rr nn� Q /,,��j
{�
(Company Name) UUI�� W (Phone) /52 93 9t6
(Contact Name) i )J1 li Vel (Phone)/ 47c 2 - `/Z40 • LJZ(p
5550(Address) 5 �C�i iL ' ivm / ��2 �/V 553Y5- 1622_
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace
['Addition ['Alteration ['Utility Connection !� *Nit,, '( n ��j
CODE: ❑I.R.C. ❑I.B.C. '/Mise: ,� / �/ W J/'��GW �, U i 1 •,
Type of Construction: I II DI IV V A B ^� d ��. , ,
eiccupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 7061'0� r `
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 property that all nstruction 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 or just c Fu rm e,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '� CRODZ113 NATZl3/5-0 io•9,/l
Signa're Contractor's icense No. Date
Permit Valuation / Park Support Fee # $
Permit Fee $ D SAC # $
Plan Check Fee $ nvsc Water Meter Size 5/8"; 1"; $
6,,uv
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 $421 's�S
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved P It i 1 `1 Receipt No. '1 ✓ 9
Dte (01t 1� ilg.,
T By 62
Building Official Date 1 11
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
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
ed.
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