HomeMy WebLinkAboutBUILDING PERMIT 16-1258 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED %_� -- .
ADDRESS `" 0 h� 4
OWNER CONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING
❑ FOUNDATION 0 MECH RI 0 COMPLAINTp FRAMING 0 WATER HOOKUP 0 FIREPLACE RICE
P
RELAFINAL
❑ INSULATION 0 SEWER HOOKUP 0 0 FIREPLACE
GPLAINE AIR
❑ FINAL 0 PLUMBING FINAL
TST
❑ SITE INSPECTION 0 MECH FINALCt a05
COMMENTS:
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
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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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BUILDING PERMIT
(1.--P R1oR CI
TY OF PRIOR LAKE , Date Rec'd
e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �I �,�
x AND UTILITY CONNECTION PERMIT �,�rik'VP
11111iI.White File PERMIT NO. f/�
2. Pink City 16 _ I✓1s ig
3 Yellow Applicant V'
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I-11 2(0 10 lr'ovi+o Acv SC (24
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITIONPID C " ` `ten 03
(Name)OWNER 16\1
Nass 'BJ O V r esS o . (Phone) S 224' ) V l 1
(Address)
BUILDER THD At- Home Service, Inc. (Ph� Sl 3�S ��5 7
(Company Name) 2690 Cumberland Pkwy, Ste 300
(Contact Name) _ Atlanta, GA 30139-3911 (Phone)
(Address) Lic # CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction DDeck ❑Porch ❑Re-Roofing ❑Residing ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration DUtility Connection
i;
CODE: ❑I.R.C. ❑LB.C. ,�Misc. �_/ �_/! .. ..t.._ .-./.7
of Construction: I II III IV V A B 6-7 Q
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ z-1
Division: 1 2 3 4 5 (excluding land)
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 roperty 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 rev c this permit for mt cause. Fut hermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 1��-��103/CDSAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ i O 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 $ i c)o
•
This Application Becomes Your Building Permit When Approved Paid----AIRecci t,�,N,�O��.,, {�� � 1
Date 'O. :J� 1 By
)YV`�`�
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
iiii,
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 1
4646 Dakota Street Prior Lake,MN 55372