HomeMy WebLinkAboutBUILDING PERMIT 16-1069 DATE TIME
CITY OF PRIOR LAKE /.2 ( (> 1 4
INSPECTION NOTICE n SCHEDULED
ADDRESS 1 � /� 1_1-()5 6-A-kka .
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ 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 FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECHFINAL 0
COMMENTS: 40.03,t,t,kW ' Jo k o
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC,IW RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector.
! Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PRlpCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
r
, te
AND UTILITY CONNECTION PERMIT
��NNESO'�!• I. White File
• 2. Pink City PERMIT NO. /6 /06
i Yellow Applicant 7
(Please type or print and sign at bottom)
ADDRESS
/ G / 2Y Cr ssemita Cr1c /a. sr ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER M K0,.. gir4 017' ! 95'02/2 39 • /3S a
(Name) ' ` ! Q' (Phone) .
(Address) / L' 1 Li C r C s s a A e `4 (..! C . SE
BUILDER THD At- Home Service, Inc,
(Company Name) 2690 Cumberland Pkwy, Ste 300 (Phone)
(Contact Name) Atlanta, GA 30339-3913 (Phone)
(Address) Lic# CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplfe
411;
❑Addition ❑Alteration ❑Utility Connection 3 11 DA d O w r{p r d C•6/'t1 l Aft /6
�1 1
CODE: ❑LR.C. ❑I.B.C. ❑Misci r l.)l i n f Op I n /A? r.
Type of Construction: I II III IV V AB PROJECT COST/VALUE S 5, t/ G 3
Occupancy Group: ABE F HI MR SU (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 sir 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
official can revoke thi mit f just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections.
)(t (-----'.
CR269257 9r� �l �
Signature Contractor's License No. Date
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_ FI-R iptNo. 10Date R a-3
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordaniiil
ce 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 const uction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372