HomeMy WebLinkAboutBuilding Permit 16-1010 DATE TIME
CITY OF PRIOR LAKE SCHEDULED b
INSPECTION NOTICE
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ADDRESS -
OWNER CONTR.
PHONE NO. PERMIT NO. I e \
0 PLUMBING RI ❑ EX/GRADIFILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP
❑ FOA0 FIREPLACE RI
❑ FIREPLACE FINAL
O INSULATION 0 SEWER HOOKUP 0 PLA AIR TSL
0'FINAL 0 PLUMBING FINAL
O SITE INSPECTION
0 MECH FINAL
COMMENTS: 1
- -
SATISFACTORY,PROCEED
frffORK
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I. white File PERMIT NO. /&. /0 L o I
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44Nes��� 2. Pink City
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3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS ,
I (o 236 P6r.,,etsvicAki 't.ys
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER --T^ (Phone) !J (-14 U CD 3
(Name) IrrcYl 1 G(�lP/1��
(Address) -C 'il
BUILDER THD At- Home Service, Inc, (Phonejc , qSZ 3 12GC7
(Company Name)_ 2690 Cumberland Pkwy, Ste 300
(Contact Name) ______ Atlanta, GA 30339-3913 (Phone)
(Address) Lic#CR268257 Ph. 763/542-8826
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration DUtility Connection ' ' ` / ` ,
illo
VI-tits 0. 1 i/l. _ %.. . l�
CODE: ❑LR.C. ❑LB.C. �'/ t�BZ
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ �
ccupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
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
offici can oke this r lust use. Furthermore,1 hereby agree that the city officialC.-V-2
or a^d�esignee may enter upon the property to perform needed inspections.//�
x �� G— — 1 C��L 6$? r7 •
Date
Signature
Contractor's License No.
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 U lime. t No. i ' ae I Date 9. l p B.l y '
Building Official Date
This 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
411 hen 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
sued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372