HomeMy WebLinkAboutBuilding Permit #14-185 DATE , Tl1AE
CI7Y OF PRIOR LAKE Z� � y----
tNSPECTION NOT�CE
SCHEDULED
ADDRESS
1�/�s� �-1 � a,� ti v°�
CONTR.
pWNER
p6RMIT NO. � � � � � --
PHONE NO. � �
❑ pL.UMBING RI p COMPW�NT
p FOOTING p MECH Ri p FIREPLACE R�
❑ FOUNDATION � yyq7ER HOOKUP
❑ FRAMING 0 SEyyER HOOKUP � FIREPIJ�CE FINAL
p INSULAT��N p pLUMB►NG FINAL ❑ GASLINE AIR TS7
�{NAL �
p ITE INSPECTION
p MECH FtNAL
COMMENTS: ,�
o�
WORK SATISFACTORY, PROCEED
❑ CORitECT ACTION AND PR�CEED
❑ CORRECT WORK, GALL FOR REINSPECTION BEFORE COVERING
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Inspe�or
CALI 447�9850 FOR TNE NEXT INSPECTION 24 HOURS � ���FETf'!
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALT
�rrsrron
o � Ptt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
U �
4i i wn��e Fde pERMIT NO . C
? Pmk C�ty � �� V I ����
i Yellow Apphcam �
Ptease or rint and si at bottom)
ADDRESS ZONING (o�f use)
�y 18`S � i�c��en �1►�W
LEGAL DESCRIPTION (of£ice use onty)
LOT BLOCK ADDITION PID
OWNER {� \a � C � C � n �\ _ (- (Phone) /�J�' �'l S" � / / /
Name � � J E� rl
(Address) � �
BUII,DER j� _ � f �� � �� M ) �SI' ��' `��O D
(Company Name ��� �`���WC T�`(Y�����J (Phone
(Contact Name) (Phone) t Gll'V�
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(Address) � � � . � � C I t ! , � „ -� • b � l'�. � 1 i � V �S � �
l/�.I�C.
TYPE OF WORK ❑ New Construct�on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑Lower Levei Fmuh ❑ Fu�e,place
❑Addrnon ❑Alteranon ❑Utihty Connect�on � `aC.� � ���y�Q C.U,s W / i rl ��(� S'�
❑ Misc �F�i 71`� `
CODE: ❑I.R.C. ❑I.B.C. �
Type of Construction: I II III IV V A B pROJECT COST/VALUE $ /�! /� �
Occupancy Groi�p: A B E F H I M R S U (excluding land) �
� Division: 1 2 3 4 5 ,
I hereby crrtity that t have hirmshed mtnrmanon on this applicauon wh�ch �s tu the best of my knowledge true and correct I also cetufy thac f am the uwner ui authuuzcd agent fur thc
' above-menaoned property and that all cunstrucnon w�ll conform to a(t exutmg state and local laws and w�il proceed m acco�dance with <ubm�ttcd plan� I am awaie that the bwldmg
I uff`ic� can revoke this for�ust cause Furtheimore, I hereby agree that the aty offiaal ur a designce may enter upon the propeiry to peiform necded mspecnonti
� .� � �c � � �q83 arr� rna� � y
� Signature Contractoi s Ucense No Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Ptan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechamcai Permit Fee $ Builder's Deposit �
Sewer & Water Permit Fee $ Other $
Gas Fireplace Perm�t Fee $ TOTAL DUE +. $
This Application Becomes Your Building Permit When Approved Paid Recei t N0. �
Date � � -
Buildme (�tticial Date
(
Thu is to certify that the requcst m che above appluanon and accumpanymg documents is m acco�dance w�th the Gry Zonmg Ordinance and may piurecd as icquc�ted This ducumcnt
when s�gned by the C�ry Plannei consntutcs a tempurary Cemficate of Zomng compliance and allowti cunstrucuon to commence Befure uccupancy, a Cciuticate �if Occupancy must bc
tssucd
Planning Director Date Specia] Conditions, if any
24 hour notice for all inspections (952) 347-9850, fax (9S2) 4d7-d24S
4646 Dakota Street Prior Lake, MN 55372