HomeMy WebLinkAboutBuilding Permit 14-1277 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED k2\1\\L)
ADDRESS ? -7 Z Z lv I7o NA,
OWNER CONTR.
PHONE NO. PERMIT NO. I 121 "7
❑ FOOTING 0 PLUMBING RI
❑ FO ❑ EX/GRAD
UNDATION 0 MECH RI /FILLING
❑ FRAMING 0 WATER HOOKUP 0 COMPLAINT
❑ 0 FIREPLACE RI
INSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL 0FIREPLACE FINAL
0 GASLINE AIR TST
❑ SITE INSPECTION
0 MECH FINAL �p ,
COMMENTS:
giogWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector C. Zk-L.) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
opt;rRCITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd
AND UTILITY CONNECTION PERMIT
ESol�
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I. White File .�
Please or , z pint City PERMIT NO. I ),---1-71
/ rint and si_ at bottom) Yellow Applicant
ADDRESS /
/4 or; Jn �l, 16' /' // ZONING(office
C
lur'" 10 he)
i
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION !�
PID 0L� ' oqy.050
OWNER /!JL
(Name) / `1 7G ff�O ie
/��� (Phone) ________________E
(Address)
'vr)Z
( �n fl-
.), 4,,,,k
BUILDER Q,,A r
(Company Name) I Tarin a n Le i-,..,y1 - r14") _
(Contact Name) e� 1 (Phone) 952_ - -/90- 760
a✓1 (Phone) 5)7- If°3
(Address) /62'6 tit .,Mf, 41e. 5L' er:or 11-7k
TYPE OF WORK
❑New Construction [Week ❑Porch ❑Re-Roofing DRe-Siding
['Addition ❑Alteration ❑Utility Connection g ['Lower Level Finish ❑Fireplace
/ , CODE: ❑LR.C. ❑LB.C.
XMisc. ea-116 - or-
.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F PROJECT COST/VALUE $
Division: II I M R S U
1 2 3 4 g (excluding land)
I hereby certify that I have burnished 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
Iabove-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 r_vice this..etmit forj j t ause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
Signature //� q""Contractor's License No.
Date —
Permit Valuation
_ Park Support Fee # $
Permit Fee �n�
Plan Check Fee $
11
Water Meter Size 5/8"; 1" $
111111MENTIN
Penalty
Pressure Reducer $
111111111111111111 Sewer/Water Connection Fee # $
Plumbing Permit Fee
Mechanical Permit Fee Water Tower Fee # $
Sewer&Water Permit Fee11111111111111111 Builder's Deposit $
Other
IIVIIIM
Gas Fireplace Permit Fee
111111.111111111 TOTAL DUE
This Application Becomes Your Building Permit When Approved - ��r
Paid J'
Date - Recei.t No. f�t�
LS�L.' B Amy,
—
Buildina UIticial 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
issued proceed,a as requested. This document
beP� y,a Certificate of Occupancy must be
Planning Director
Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street Prior Lake,MN 55372