HomeMy WebLinkAboutBuilding Permit 14-0422 DATE TIME
CITY OF PRIOR LAKE SCHEDULED ZZ r'b
INSPECTION NOTICE
ADDRESS 15;
OWNER
CONTR.
/ .� 2�_— —
❑
❑ FOOTING O PLUMBING RI 0
PERMIT NO.
PHONE NO. EX/GRAD/FILLING
0 COMPLAINT
0 MECH RI 0 IREPLACE
❑ FOUNDATIONRMING 0 WATER HOOKUP 0 FIREPLACECE RIIVAL
❑ FRAMING 0 SEWER HOOKUP 0 REPAIR NA
❑ INSULATION 0 PLUMBING FINAL 0
TST
0 FINAL 0 MECH FINAL
❑ SITE INSPECTION
COMMENTS:
kinni
i
_ ..... , ...,
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.Inspector.
CALL 447-9550 FOR THE NEXT INSPECTION 24 HOURSNADVANCE.SA !
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAD
I MSNOfl
C
i CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
.411
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
Irj
��, I White File PERMIT NO. _, /L�D 2. Pink City j L�
Yellow Applicant /
se type or print and sign at bottom)
It
ADDRESS ZONING(office use)
/J a�8 S C_/9AA3 (1 E cJ /Z,0 A). (�
LEGAL DESCRIPTION(office use only) -
LOT BLOCK ADDITION PID
OWNER
(Name) -5A vIAE. L ► VE (Phone) 6 (,Z a®7 6 crZ 3
(Address) / s---8,4J ,7S
r9 JQ U i fril c J
i BUILDER
(Company Name)cc15L-r- (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construe ion ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ElLower Level Finish ID Fireplace
❑Addition Alteration ❑Ut ity Copnection
❑Misc. F •
CODE: DI.R.C. ❑I.B.C.
e of Construction: I II III IV V A B PROJECT COST/VALUE $ ��(�a-1 ' D6
Ilipiu
panty Group: A B E F H I M R S U (excluding land)
vision: 1 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 that I am the owner or authorized agent for the
above-mentioned property and 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
officia revo .this permit for just c use e Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature
Contractor's License No. Date
Permit Valuation 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 $ 79 73---
This Application Becomes Your Building Permit When Approved Paid I l y 73Receipt N 7/ /f
Date 372-///9 By
o
Building Official Date
4is 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
n 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 Prior Lake,MN 55372