HomeMy WebLinkAboutBuilding Permit 14-0417 ATE TIME
CITY OF PRIOR LAKE SCHEDULED _Arlo
INSPECTION NOTICE
ADDRESS
CONTR.
OWNER ' L.' r ��
PERMIT NO.
PHONE NO. ❑ EwGRgpIFILLING
❑ FOOTING 0 PLUMBING RI COMPLAINT
0 MECH RI 0 FIREPLACERI
❑ FRA
NDATION 0 WATER HOOKUP ❑0 FIREPLACE IVAL
❑ FRAMING 0 SEWER HOOKUP 0 REPAIR TSL
SITE INSPECTION
❑ INNALATION 0 PLUMBING FINAL 0
FINL ❑ MECH FINAL
I
COMMENTS. I. •
ik
, illi.10 ,lop
I WORK SATISFACTORY,PROCEED
■ CORRECT de ND PROCEED
I CORR T WO" LL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
I spector. .
CALL -'850 FOR THE NEXT INSPECTION 24 HOURS IN
do SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
TH'taxon
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PRJo� CITY OF PRIOR LAKE BUILDING PERMIT, Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5 ,2:7- I4
Date
NESo�P White Filef I / ��
z Finl cityPERMIT NO. `T(,, G L/.Y3 Yellow Applicanttype or print and sign at bottom)
ADDRESS ZONING(office use)
4 cc/2 /yG.-, ,iV e_GNI�CCr
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID, '. ..-.0 f ' (v. -,O
OWNER / /moi C
(Name) C.9 c.J /b, -J r)/ y/�/�O (Phone)C6 0 %) fv D7" /5--/5e
(Address)
BUILDER ,(
(Company Name) Pte., s 4c.. r 7-e-1/ (Phone)( c)) �/q/` �,
(Contact Name) PG^ '5f- / (Phone)
(Address) 7 63--0 (it- „2.1 -4- ��.- de .,-r I'�r c ?cj
n
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration ['Utility Conne tion
ODE: ❑I.R.C. ❑LB.C. ❑Misc.
e of Construction: I II III IV V A B PROJECT COST/VALUE $ q50 0
paltry Group: A B E F H I M R S U (excluding land)
ivision: 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
official can revoke this permit for Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed insp)ecttiions.)
X C/ ,20 / 3 $f is‘ f/ rt // d CJ� 1Signature Contractor's License No. / Date
Permit Valuation Park Support Fee # $
Permit Fee $ r7(1,47 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 5--, 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 $ rig Ic
This Application Becomes Your Building Permit When Approved Paid !Cl/75— Receipt No. 0 I I
Date 6 • 27 I 9 By 5yt4,L,,)
Building Official Date
)s 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.
41(/
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