HomeMy WebLinkAboutBuilding Permit 14-1144 CITY OF PRIOR LAKE DATE
CITY TIME
INSPECTION NOTICE SCHEDULED .3/4
ADDRESS `y 3 td; 1C(I S ' -
OWNER CONTR.
PHONE NO. PERMIT NO. ((1— (I cr y
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 COMP
❑ FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE F
)r� I FINAL ❑ FIREPLACE FI
❑ SITE INSPECTION 0 PLUMBING FINAL ❑ GASLINE AIR TST
0 MECH FINAL 0
COMMENTS: �.4 _ I
All
411 I,—
IA � i ; .III
10 i ' i.4) r A cQ5
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
CORREC RK,CALL FOR REINSPECTION BEFORE COVERING
nspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
ration
(4PRT3N\
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /0.. ��
AND UTILITY CONNECTION PERMIT
*INN ESO1 t* 1. NO.White File PERMIT C
2. Pink City
3 Yellow Applicant ✓/f/
se type or print and sign at bottom)
DRESS ZONING(office use)
i q 7 37 WEl(9.Svaenv N W
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITIONPID S 2' "1, of (Q
OWNERInn k
(Name) Pc v4 \� W "CA s`tti� (Phone)
(Address) CG KA
BUILDER
(Company Name) �c fr1 to 0 l 4s*
S\\S (Phone) 66t-g Li (y g-rJg9 l
(Contact Name) 1 \ C O.A V O t L (Phone)
(Address) G C ct G,e��e ff KV e N Y t nkacje 1 iv IAV 66 10-2'
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing he-Siding ELower Level Finish ❑Fireplace
CODE: ❑I.R.C.
❑AdditionI.B.C. ❑Alteration ['Utility Connection 1 ^ r
ilu ❑ ❑Misc.I ' �t/� �e� Ws LAA (J(tA� +�t v•Z'
e of Construction: I II III IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ qi oW
ision: 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 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 vok•this per, it for st cause Furthe more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 41 aocitGc1ga to it 13 /iiI4
Signature 1 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 $ 791
. 7f--
This Application Becomes Your Building Permit When Approved Paid '/
q i ReC.of
No. 7?i�C7
Date V.
7
`6_i3 _. BY c
Building_Official Date //
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
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
ted.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372