HomeMy WebLinkAboutBuilding Permit 14-1189 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 231 I C(
ADDRESS LH 16 Q[:Aaalk_ a^h "74 - - Lo .
OWNER CONTR.
PHONE NO. PERMIT NO. 14 ^1(8 Cp
❑ 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
Q'_FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
b SITE INSPECTION 0 MECH FINAL 0
COMMENTS: (.J t‘049.044.Ns
0.(C5e c't-IL- Cc
/Ve i kT'JIM- A-cc eS5
ilfliVORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORREC 0 . 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!
INSnoTI
o- PRtoi' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti AL' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
rk1 E S°
I.White File PERMIT NO. \A.- i t
z. Fink City
3.Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
1-1+ 1 (o Co,�ck�✓��k�1 LANE �1 E
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER LARK 6IZ• `� to •5-976
(Name) /�-�U��� Y ��/k v S� (Phone) ' `
(Address) 4 4 ( � L'C)A-c,Ef-A4 A-Ni LAME JJ C pR l a k LA-KC AA Jv 55 37 Z
BUILDER vt Sz. 74i-c,- 6(o 6
(Company Name) kiln 1 )OO w d�T� TIS I !J C (Phone)
(Contact Name) D/44 E 1'1-E�S TAD (Phone) SAM c
(Address) 12(e0 5 C.R EEk V I E VIS A\J , A-VA C E M L) 557 g
TYPE OF WORK 0 New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition DAlteration ❑Utility Connection
CODE: .R.C. ❑I.B.C. ❑Misc:
REP 4C E tit EJ o F W I N I)Ovt1s P lb� -
Type of I.R.C.on: I II III IV V A B Q�n
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ U��I 0
ivision: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished inform ion 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- .- .ned property and tha I con ction will conform o all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offici.� -yoke thispermit for ca s . Fu: - ••• I her-�.y agree that the city official or a designee may enter upon the property to perform needed inspections.
x ` %lI/ �► f'v/� 13c, `�`�- 1 `��
�' Signature Contractor's License No. Date
Permit Valuation Z � - Park Support Fee # $
Permit Fee $ 1 1' SAC # $
Plan Check Fee $ Water Meter Size 5/8";1"; $
State Surcharge $ 1,_ 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 Ap 'cell) Becomes Your building Permit Wh n Appro d Paid yReceipt O.( 'Date 1 D�z � By V .
k b Wit
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Buil mg Of tet "---TNI\ ate
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
when 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.
411111 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