HomeMy WebLinkAboutBuilding Permit 14-0467 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED *bi-
ADDRESS 1-{u Cl C lwoun_ L w
OWNER CONTR.
PHONE NO. PERMIT NO. 14-/ - q6, -.7
❑ 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
O FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: ;
0( -)-Pi\-R-"Z.. Lt)
(pco
SATISFACTORY,PROCEED
�❑\CORRECT ACTION AND PROCEED
❑ CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INS/jOTI
\� 1175-f` CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
1 (c.,
��\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 6,..3 ' 4—
j/‘'N E S(5S
I. White File
2Pink PERMIT NO. 4-7
. /4_3. Yellow Applicant
1,
type or print and sign at bottom)
RESS
(olvi ZONING(office use)
" / V
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 7217,4 LI
(Name) PV5 k 1—Yjp (Phone) �/.,9 —
(Address) Qt 11 e
BUILDER1
U/'
1&
(Company Name) 5 f /,( 'hone) 0 c $ /� , a c`
(Contact Name) al
—.J ( l /6
(Phone)
(Address)
TYPE OF WORK 0 New Construction
CODE: I.R.C.
ODeck ❑Porch ❑Re-RoofingRe-Siding DLower Level Finish 0 Fireplace
Ilit
❑Add.Cition. ['Alteration ['Utility Connection �\
❑I.B
e of Construction: I II III IV V AB
panty Group:
ion: ABE F HI MR S U❑Misc:
PROJECT COST/VALUE $ "t
(excluding land)
I 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 ertit that I am the owner or authorized agent for theg
property. d 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 ok this tj -it r _ e. Furthermore I hereby agree that the city official e nteyupon property to perform needed plans..
t/
Signa e Contractor's License No. Date
Permit aluation 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 $ —71 7(
This Application Becomes Your Building Permit When Approved Paid 1 q f 3 R eipt No. '7 14
Date C<. a (4- ,
Building Official Date
11111 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
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
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