HomeMy WebLinkAboutBuilding Permit 14-0219 DATE TIME
542-4
11 GG
6 ��
CITY OF PRIORLAE
CE SCHEDULED
INSPECTION NOTII
y68ct Aso
ADDRESS
CONTR. 1
OWNER PERMIT NO.
❑ EwGRApIFiLLING
PHONE IN ❑ COMPLAINT
13 PLUMBING RI ❑ FIREPLACE RI
❑ FOOTING 13 MECH RI 13 FIREPLACE PIJINT FINAI-
WATER
HEWER HOOKUP
p pRAMINGION
0 GASLINE AIR TS
T
❑ INSULATION ❑ PLUMBING FINAL 0
FINAL 0 MECH FINAL
❑ E INSPECTION �I\ ‘,6;.
. �, .
COMMENTS:
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INIWA• ��'
•
i.NINIIII.
Il
WORK
SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
Inspect
pwnerlContr: VANCE.
CODE REQUIRE
FOR THE NEXT INSPECTION 24 HOURS�H�SAFETY!FSAFETY!CALL 447-9850FOR YOUR PERSONAL HEAL
FOR ARE
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79 7S
o� Y1tIO CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
•�� Pq TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
dr ; AND UTILITY CONNECTION PERMIT
NN$5° �4 , Zj �
L White File I PERMIT NO.
2. Pink City3. Yellow Applicant
lease type or print and sign at bottom) ZONING(office use)
ADDRESS
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name)
!%'//Gl'-f"y citth (Phone) 6/09-7/9- 1670?
(Address) 55?5 a/0/1 c5-7' (Ce
BUILDER / /I (Phone) 4S/`9�S d/OS'"
(Company Name)1%/1Gr/!06,n� 5 496 ;e41,404Phone
(Contact Name) Ink. �AIt. (Phone)
(Address)p19/ G U! s�� 5/�GiGGI� % / 5 57 7
TYPE OF WORK 0 New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ❑Utility Connection / f j
411;i
CODE: DI.R.C. DI.B.C. Misc: 4cte ®/IWOW� !{1y21C/571'
yr
of Construction: I II III IV V A B PROJECT ,triptitr
COST/VALUE $ //� V
ccupancy Group: A B E F H I M R S U /
ivision: 1 2 3 4 5 (excluding land)
I hereby certi. II r-e 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-me ' • .r. and th. 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
ffi
ocial c.q! ..e ..p• it fo••4.st cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
f Signa . igci -3 Sin 51/09Contractor's License No. Date
P'mi aluation 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 l !- 7r Re ipt No.
Date ¢ d.c.I`-
Building Official Date
i nis to certify that the request in the above application and accompanying documents is in accordance with the CityZoning Ordinance and may proceed as requested. This document
fill
hen signed by the CityPlanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
sued.
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