HomeMy WebLinkAboutBUILDING PERMIT 16-937 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /61611‘,.
G‘,.
ADDRESS Lit,4 t 4600
OWNER CONTR. j
PHONE NO. PERMIT NO. / L/ �j1
'` [.32
❑ 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
id FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: V` NID v V4s
C[6 c,o g\-1- -r:Le
❑ WORK SATISFACTORY,PROCEED
*CORRECT ACTION AND PROCEED
O CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr. -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSROT/
i
OF PRIpR
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Z.1 m
• 4.
41.4E50:1,7t.venae FiCity I PERMIT NO. / G 7 3 1
3 Pink Applicant
3 Yellow Applicant
(Please type or print and sign at bottom) nzi
ZOI�IING(office use)
ADDRESS
Iii 1 `�Ras � � .
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION / /LtC [l g I (i
OWNER {1Ic
(Name) f k.(+ha,A (Phone)412 1 Li
_(Address)
BUILDER THD At- Home Service, Inc,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone) 2 �,57
Atlanta, GA 30339-3913 (Phoney 11w 1L �� 3't
I (Contact Name) _ Lie# CR268257 Ph. 763/542-8826
(Address)
TYPE OF WORK 0 New Construction ['Deck DPorch DRe-Roofing DRe-Siding DLower Level Finish 0 Fireplace
CODE: ❑ DAddition DAlteration DUtility Connection t
iiiLR.C.
❑LB.C.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ �
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
the
I hereby certify dthat I have and that all construction will conformtoall existing state and l which is to the best of tcal lawy s and will procledge true eed correct,
in accordance certify
wi h that
submitted plans.
❑Ir am authorized are that the bui ding
above-m roved property and
t.it�fi 1 an revoke this pe mit for j t cause. Furthermore,I hereby agree that the city official/� or�a7d�esignee may enter upon the property to perform needed inspections.
L. GRR .4,8 2, ( / /Date
Signature
Contractor's License No.
Park Support Fee # $
Permit Valuation # $
Permit Fee $ SAC 5
Plan Check Fee $ Water Meter Size 5/8"; 1";
Pressure Reducer $
State Surcharge $
Sewer/Water Connection Fee # $
Plumbing Permit Fee
Penalty $
$ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $$
Sewer&Water Permit Fee $ Other
Gas Fireplace Permit Fee $
TOTAL DUE $
/0 0Recd No. Q
This Application Becomes Your Building Permit When Approved Paid Re
Date , ( g' ,.160 By i
Building Official Date
ed. This
This is certify that the
request
tabove
eand
accompanying
accoe rdance
Zoning fornd may
eed as ttdocument
when signed bythe City Planner constitutes a temporary Certificate Zoning compliance and allows construction tocommnce, Be e occuptcCurticaeofOccpayymube
iiil,
slued.
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372