HomeMy WebLinkAboutBUILDING PERMIT 16-967 DATTIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED C b .5 a
ADDRESS /G-15 (, LQ,.
, ,%...
OWNER COR.
PHONE NO. PERMIT NO. 1 (P _ q.c,7
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINALASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
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❑ ORK SATISFACTORY,PROCEED
• CORRECT ACTION AND PROCEED
❑ CORR ► '••RK,CALL FOR REINSPECTION BEFORE COVERING
Inspect. Alti
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
�F PR,t°�
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x
NES�� AND UTILITY CONNECTION PERMIT
I. wanDate Recd
2. rink Ae Fite• T >"
pYellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS Ly pts
Alf EC t 6 7S70C/
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION
OWNER
G�h LC.A .)GYl. S (Phone) 12)___ __-3__°_5 (-------1-7
(Name)
(Address) S ^
BUILDER THD At- Home Service, Inc, (phone)
(Company Name) 2690 Cumberland Pkwy, Ste 300 (phone} q3� L oS
(Contact Name) - Atlanta, GA 30339-3913
(Address) Lie# CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection - i r
�vlisc. 11111'' 4-"A
l..uJ /.' .11
CODE: ❑LR.C. DLB.C.
Type of Construction: I II III IV V AB PROJECT COST/VALUE $
4110
Occupancy Group: A B E i 2 3 4 5 SU (excluding land) 2 �
Division:
I hereby certify that t have ftimished 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
to submitted
needed. Iam
above-mentionedcialcrvoproperty s permit for tj just guise. Furthermore,I hereby agree that the city official cor al a designee may enter upon the tp�petty dance with perform
ted plans.inspections.am atware that the bin mg
tTicial ca t is P �� G�2�I�^1 c O�' 0 ( �/
X LJ
Contractor's License No.
Date
Signature
Park Support Fee #
1111111111111111
Permit Valuation
Permit Fee $ SAC #
$ 111111
Water Meter Size 5/8"; 1";
Plan Check Fee
$ Pressure Reducer 1111111111111111111
State Surcharge
$ Sewer/Water Connection Fee #
Penalty #
1111111111111111
$ Water Tower Fee IINIIIIIIIIII
Plumbing Permit Fee $
Mechanical Permit Fee $ Builder's Deposit
Other
Sewer&Water Permit Fee $
TOTAL DUE
Gas Fireplace Perm $it Fee ;
7 Re Tit No.
1111111111111111 ,
This Application Becomes Your Building Permit When Approved Daeer ' B'��
Buildino 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
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
ssued
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372