HomeMy WebLinkAboutBuilding Permit 14-0508 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 27
INSPECTION NOTICE
1 ,- ; 4— .
ADDRESS
CONTR.
OWNER
Ll
PERMIT NO.
PHONE NO. ❑ �GRpp�ILLiNG
0 PLUMBING RI 0 XIGRA IFI
❑ FOUNDATIONFOOTING 0 MECH RI 0 FIREPLACE
NT
❑ A 0 WATER HOOKUP 0 FIREPLACE RIIVAL
❑ FRAMING 0 SEWER HOOKUP ❑ FIREPLACE
AIR TSL
INNALATION 0 PLUMBING FINAL 0
TEL 0 MECH FINAL
❑ SITE INSPECTION
COMMENTS:
Mlir 6
li WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
0 COR I WORK,CALL FOR REINSPECTION BEFORE COVERING
pwner/COntr.
Inspe
cc
C L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN � !
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
1NSNOTI
Oi vino CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F TEMPORARY CERTIFICATE OF ZONING COMPLIANCEZi x
en (0. �,AND UTILITY CONNECTION PERMIT `�'
4, ,fit White File PERMIT NO. a, 608
NNESD 2. Pink City 1
3 Yellow Applicant
ase type or print and sign at bottom)
DDRESS / ZO GOffice use)
) 4177 7 7 (... ....„) ....,..,„,....00 .,) � � fi N i� L
LEGAL DESCRIPTION(office use only) /
LOT BLOCK ADDITION PIDp '0Z1+ 027-
n
OWNER
C) I^n 1 1/ -US
(Name) (Phone)
(Address)
(Co BUILDER G e `I 5L G; I✓�s i g� JL-.L J 6 17_, C 8 S -Sc).13
(Company Name) (Phone)
(Contact Name) ID.,I e. P.-...v (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch /Re-Roofing Ate-Siding ❑Lower Level Finish ❑Fireplace
❑Addition DAlteration ❑Utility Connection t^�JV
❑Misc. 1 ,�Gr�
CODE: ❑I.R.C. ❑I.B.C.
iliue of Construction: I II HI IV V A B PROJECT COST/VALUE $
pancy Group: A B E 1 2 3 4 5 F HI MR S U (excluding land)
vision:
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 propel nd that all constru .n 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 th per t for Just cause • rm ,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
— b��3i? /3 f 11
X
Signature Contractor's License No. Date
Permit Valuation , Park Support Fee # $
Permit Fee $ //-1q,5O SAC # $
Plan Check Fee $ 1 t Water Meter Size 5/8"; 1"; $
State Surcharge $ 19 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 $ /59. �.-�')
7 `�
This Application Becomes Your Building Permit When Approved Paid 154 ,W Receipt No. 1 I b.09
Date ( 4..i i, t By o .J
Building Official Date
Ilis 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
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
led
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