HomeMy WebLinkAboutBuilding Permit 16-482 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. j "
0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI❑ FIREPLACE FINAL
❑ NALATION 0 SLWER HOOKUP ,-, GASLINE AIR TST
❑ FINAL PLUMBING❑ FINAL �
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS:
`WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O 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!
uvsnon
of _Ra,�_ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT �` �` /�
dIII '�Hnesot� I. White File PERMIT NO. /�
3 PinkllCity / / t 47-
3 nApplicant l e (/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1,5i k I 3 0 ak.d5� C.v ck
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
0S(Ad(Name)
-R-0
he/Y± N 01NQCi< (Phone)q5-2— LI g 0 80S---
(Address)
dress) .0 6- —
BUILDER THD At- Home Service, Inc,
(Phone ��1�1
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 ��" "--- i 2 3 yrs�S 7
(Contact Name) _ Atlanta, GA 30339-3913 (Phone)
(Address) Lie# CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ['Deck Porch [Me-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
4;CODE: DI.R.C. ❑I.B.C.
kg-Misc.026(114461.4r r€ 1ac2�Ir ��f me.S/L'F
Type of Construction: I II III W V A B Q
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ in:Z2-/ I Division: 1 2 3 4 5 (excluding land)
i
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
otfi revoke this permit for st cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to peiform needed inspections.
X C42Z632s 7 8 3—/l
Signature Contractor's License No. Date
Permit Valuation Z(3 )) az, Park Support Fee # $
Permit Fee
$ /U 3_cz1 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1'; $
State Surcharge $ 1, Urep 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 $ !e (/ CV
— •10-f{".--?ft)This Application Becomes Your Building Permit When Approved Paid Rec pt No. 6-5'0;6
Date ,, C' l & B
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
iiiiv,
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 I
24 hour notice for all inspections(952)447-9850
•
4646 Dakota Street Prior Lake,MN 55372