HomeMy WebLinkAboutBuilding Permit 14-0357 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED '3"-Z (d<.
ADDRESS (Gs57 F-G,,.. Tr .
OWNER CONTR.
PHONE NO. PERMIT NO. ((""l ^' 35?
❑ 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
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: sick &fDaL
Po R.
C S
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT R ,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
(cP112-1 p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5 , 14— • 14—
:NE.5) i. white File
?. Pink City `PERMIT NO. r 4 3 S 7
Yellow Applicant
not and sign at bottom)
tE /675 9 ci F.-„,k1,'K & I Se- -- ZONING(office usi
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ``toil/ / 8r"ags÷t y
4112230 (Phone)
�tt�it' / S2^ �U(p"QC`b7
(Address)< 6 / F? ti. k 4%, cal rN 5 E
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK Pall '
❑New Construction ❑Deck ❑Porch �Re-Roofing ('t��•e-Siding ❑Lower Level Finish ❑Fireplace
❑Addition DAlteration ❑Utility Conn ction
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
e of Construction: I II III IV V A B
panty Group: ABE F HI MR SU PROJECT COST/VALUE $
ivision: 1 2 3 4 5
(excluding land)
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 c•^form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev permit for just cause Further Ir',I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Contractor's License No. ^—/r-1°1
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 $L� rf 7�
This Application Becomes Your Building Permit When Approved Paid ` ! � No. //7/2--..51
Date / / :ii
Building Official Date ,
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
m 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.
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