HomeMy WebLinkAboutBuilding Permit 14-0285 DATE TIME
CITY OF PRIOR LAKE SCHEDULED S�
INSPECTION NOTICE / /
ADDRESS
OWNER
CONTR.
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PERMIT NO.
PHONE NO. ❑ �GRAp/FILLING
0 PLUMBING RI 0 COMPLAINT
❑ FOOTING 0 MECH RI 0 IREPLACE
❑ FOUNDATIONAMING 0 WATER HOOKUP 0 RIIVAL
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACEGREPAIR TSL
INSULATION 0 PLUMBING FINAL 0
SITEEL 0 MECH FINAL
C3 INSPECTION II
COMMENTS: ' t , 1.0"
•
lir Nor
6 WORK SATISFACTORY,PROCEED
d CORRECT ACTION AND PROCEED
01 CORREC RK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspedo
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS N &ADVANCE.SAt
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
INSNOTI
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
o TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
UAND UTILITY CONNECTION PERMIT
r�'NE5oI.�
2. hit. File City PERMIT NO. Y
(Please 3.Yellow Applicant /27_2.
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type or print and sign at bottom)
0
ADDRESS I 3 3 `� U ZONING(office use)
.7C y Aictim .e, 5 t,)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER I(Name) C) ti) 00CtirI) �/7• � � �� � (Phone) 6 J6l (2 t/(Address) / 3 3 Cie 5-f6 ii pi, 4 vie 4 u ,. 5 (.‘)
BUILDER THD At- Home Service, Inc
(Company Name) 7'S 21
( Phone) 3 f C. 4 b y 7 JO d,
2690 Cumberland Pkwy, Ste 300
(Contact Name) Atlanta, GA 30339-3913
(Phone)
(Address) Lie# CR268257 Ph. 763/542-8826
TYPE OF WORK 0 New Construction ['Deck []Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. '�vlisc: /pCt�� o CYO Jr Cep la Gc /�,cn-,�
Type of Construction: I II Bl IV V AB
Occupancy Group:1111
ABE F HI MR SU PROJECT COST/VALUE $ / 8 S 7
Division: 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 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 per t for just cause. Furthermore,I hereby agree that the city official or designee may enter upon the property to perform needed inspections.
. cRac, � as7 yla $ fly
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 $
This Application Becomes Your Building Permit When Approved Paid 79 ii.6 Receip o - 7/1 72
Date yizfkt BY .-.,.1
Building Official Date
iiiThis 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
when 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 S.E.,Prior Lake,Minnesota 55372