HomeMy WebLinkAboutBuilding Permit 14-0482 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE
SCHEDULED 3/ /
ADDRESS 4.1C-
OWNER
.(COWNER CONTR. ,
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ EX/0
LLING
❑ COMLAIN
❑ FRAMING 0 WATER HOOKUPT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE
❑ FINAL 0 PLUMBING FINAL 0 FIREPLACE FINAL
❑ SITE INSPECTION 0 MECH FINAL 00
GASLINE AIR TST
COMMENTS:
1141,11talt
O `J • t
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447_9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT!
OF PR/04, CITY OF PRIOR LAKE BUILDING PERMIT,
.3Dat'� c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
e Recd
cn
AND UTILITY CONNECTION PERMIT
44/vEso4t` (� j/ (
6` /4
,L,
I. White File
ase .• or .rint and si:n at bottom 2Pink city PERMIT NO.
!
ADDRESS [ ) Yellow Applicant �J
/ / !/�p /(�Cit`f-( i►/1 �j�`''/` ZONING(office use)
, Thi-, C A l
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION . 5--.
_AO .A40. _ //= 4 -. PID 015 / ..."-‘W-69
OWNER
(Name) ,( - i(LK
Jv L
(Address) WC (Phone)
BUILDER r------ Ciy Cf([/ S3-3 Yr
(Company Name) I_ .1 A _ _• �1 .L7f�Yf�� ,J,
�
(Contact Name 0-1.1- . (Phone) 37
4G
(Address) ��
(Phone)
/ b(a �, l "�
TYPE OF WORK
0 New Construction ['Deck ❑porch [Me-Roofing - II Re-Siding OLower Level Finish
❑Addition DAlteration 0Utility Connection
CODE: DI.R.C. ❑Fireplace
pe of Construction: B.C.
0 Misc.
I II III IV V A B
cupancy Group: A B E F H I M R SU
tvision:
1 2 3 4 5 PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
I official can revoke this permit for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed
knowledge true and correct. I also certify that I am the Owner or authorized agent for the
x //'r`� submitted pians I am aware that the building
inspections.
Signature C,1/2
Contractor's License No. ______6:_____-6!1-1(
_� `/
Permit Valuation Date
Permit Fee /, Park Support Fee
all
nommummonommilliMINIIIIII
Plan Check Fee
Water Meter Size 5/8"; 1
MMIIIMIIMEMIMIh II
Penalty i "W Pressure Reducer
Plumbing Permit Fee iim
Sewer/Water Connection Fee #
mininMechanical Permit Fee Water Tower Fee
Sewer&Water Permit Fee Builder's Deposit
Gas Fireplace Permit Fee Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved 111
i
, '�' Receipt No. ``�►EYL
Building Official — B ,
Date illininim
- o
li
111)s is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma
en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupant a
:sued
Y proceed as requested. This document
Y• 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