HomeMy WebLinkAboutBuilding permit 14-0229 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE 1 (11 f
�i __00A.._" �0 j
ADDRESS �r A.
OWNER
CONTR.
'"
PERMIT NO. 1
PHONE NO. pGRpDIFILLiNG
0 PLUMBING RI 0 COMPLAINT
❑ FOUNDATIONFOOTING 0 MECH RI 0 FIREPLACE RI
❑ A 0 WATER HOOKUP 0
O FRAMING 0 SEWER HOOKUP FIREPLACEREPAIR FINALAL
O INSULATION 0 PLUMBING FINAL 00
❑ FINALT0 MECH FINAL
❑ SITE INSPECTION
COMMENTS: 6);
1
AWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
LL FOR REINSPECTION BEFORE COVERING
❑ CORRE O-�
Owner/Contr.
Inspector: -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IADVANCE.!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
ration
� It
77 '\ '' '- CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
f TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v' JL-- % AND UTILITY CONNECTION PERMIT
`A'NES
1.white File PERMIT NO. lj1 _�� 9
2. Fink City 7— /
‘4 (6?) ?_ ,_„_,_._.1.,_ 3cciL. V-GL. Clici2_. \a,\((2. mr). c),d5 51
3.Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER c2�l‘JIC.c 4� .� 1 (Phone)
(Name) 1 Y( )\4(c 1 t 1,,Q, �� • �j�,�-`7
Address
BUILDER CCc�r"1"1 3 Q I - (Phone) ( 1 '-ic-�7-41
(Company Name) 1( _
(Contact Name) -J`''1 D-2- L -' �""- (Phone) Z--
(Address)Lj c-Aa,Qkt
D2 _ 1,t ' X : .54`i>Q
TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
iiiD
� � k, e >1
CODE: EILR.C. QI.B.C. �Misc:
Type of Construction: I II III IV V A B CJ ' , 2
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ i
(vision: 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
offrci
Signature evoke this permi rofficial ust cau Furthermore,I hereby agree that the city or a designee may enter upon the property to perform neededections. �'
1-7-.) 27)24 5 1 I
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 $ 7, 7-6-
This
5This Application Becomes Your Building Permit When Approved Paid Receipt No. 7/t/� l
9 i
I Date ////'f By �/
O
Building Official Date
This is to ts is in
ce with the City Zoning
rdinance
d may
ed. This
ent
when signed by the City Plannert the request sn the above application and accompanying constitutes a temporary Certificate of Zoning compliance ndcallowasconstruction to commence. Before occupancyproceed Certificate uoftOcc Occupancy must be
issued.
Planning Director Date Special Conditions,if any
2-1 hour notice for all insnections(9521 4A--9S50,fax(9521-L17--1224