HomeMy WebLinkAboutBuilding Permit 14-0569 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 31-14a72
22
ADDRESS / 1 7 ?j D W/U. N.
OWNER CONTR. j
PHONE NO. PERMIT NO. I s6 — SL
❑ FOOTING 0 PLUMBING RI 0 EX!GRAD!FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
(d-FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
IIIIMIIIIIMAIr Al
WORK SATISFACTORY,PROCEED
O CORRECT ACT • AND PROCEED
❑ CORRECT - • ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. // Owner/Contra
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
AO.
PR4p4P CITY OF PRIOR LAKE BUILDING PERMIT,
Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6, Z- t
F en
en AND UTILITY CONNECTION PERMIT
U
,. white File PERMIT NO. /
44,NBsolP 2. Pink City
3 Yellow Applicant • '
se type or print and sign at bottom)
ZONING(office use)
ADDRESS b , id Pr
ID
I y2 w > X., 4-1
LEGAL DESCRIPTION(office use only) '�� t"� � /444) PID ' ,� TI�,�,�3�®
LOT BLOCK 3 ADDITION Cis '/y ' 4.4-1/1/
OWNERme) 642-r P e"lei 1-C [c.5S ark ((Phone) 7(3 -55 -313 Z
(Na
(Address) f I ii 2 S 14(54\ w)4 14 -5-5 / /
.s , y►O
BUILDER ( �- (Phone) -- .5./ —
(Company Name) 1l!!i? h,l�✓h t-civ _ $/4"✓ t�C l '0io1 _s/ - _ / V61. rS �e , (Phone) 7
(Contact Name) t�"o.5pp� If tn 2. •
(Address) /2.3 / 5 p!�' r-. , �- I
•TYPE OF WORK 0
New Construction [Deck ❑Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace❑Addition ❑Alteration ['Utility Connection Mise. —AO,'�� ,CODE: ❑I.R.C. ❑I.B.C.
.e of Construction: I II III IV V A B PROJECT COST/VALUE $ /��
pancy Group: ABE F HI MR SU (excluding land)
•ivision: 1 2 3 4 5
correct. I also certify
at I
I hereby cortin that I property
and that all constructioonw will conformapplication
to all existing state and loest of cal laws and will proceed y knowledge true in accordance with[submitted plan owner
I atm awaretzed agent for the
that the building
official
propc ry pp
official can revoke this permit for just cause. FurtKerm� here.y agree that the city official or a designee may enter upon the property to perform needed inspections.
X CI,—.4,1 i Kik
Date
Signature Contractor's License No.
/
Park Support Fee $
'
Permit Valuation # $
$ P• , SAC
Permit Fee $
$ 7 Water Meter Size 5/S"; 1";
Plan Check Fee
State Surcharge
$ Pressure Reducer $
$ Sewer/Water Connection Fee #
$
Penalty Water Tower Fee # $
Plumbing Permit Fee $ $
Mechanical Permit Fee $ Builder's Deposit $
• 4
Sewer&Water Permit Fee $ Other /
Gas Fireplace Permit Fee $ TOTAL DUE
�A 'i Recei.t No. ���L�
This Application Becomes Your Building Permit When Approved ay�/V B EN
a ,
Buildine Official
Date •
nd may
ed. This
nt
is is stoigned
certifybthe City Planner in the above
constitutes a temporary Certificateication and of Zoning documents
compliance andallows construction
the A
P
commence.ning Ordinancefore acccupancy,proceed C rti Certificate oftOcct Occupancy must be
en signed by Y
issued.
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