HomeMy WebLinkAboutBUILDING PERMIT 16-934 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 0, Z�
INSPECTION NOTICE I
ADDRESS
1 'ZZ Y7 lbr- I"2" 4,J
OWNER CONTR.
PHONE NO.
PERMIT NO. kt
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0 REPINE AIR TSL
❑ FINAL 0 PLUMBING FINAL
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS: 4
(((111��� WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
pwner/Contra
Inspect
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN
&SAFETY!ANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
❑4SNOTI
o* PRIo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
-'t cn AND UTILITY CONNECTION PERMIT
• y��'NESo�� I. White Fite
2. Pink City PERMIT NO. /L ,934-
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
7
12g7 -lair►z 'TY-a,1.1
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
AJ
( ame) JC+-r- C (Ove-A (Phone) q c2 di9-0 63 l t!J
(Address)
BUILDER THD At- Home Service, Inc,
(Company Name)_ 2690 Cumberland Pkwy, Ste 300 (Phone) c1 S---7--- 3 YS (o OJ 7
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) V 1J —)
(Address) Lic# CR268257 Ph. 763/542-8826
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re•Siding ['Lower Level Finish 0 Fir:•ace ,,�o '
❑Addition El Alteration 12 Utility Connection di' /' ,
41;0
CODE: ❑I.R.C. ❑I.B.C.
gMisaw(�Ya�ld vvf a, (paw- i fir-4' ' ' '
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 30
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
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 c nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official n rev a this permit r just eau a Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ` C.2- 2(0'8 2..S 7 8/9i(i
Signature Contractor's License No. ate
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
i
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 $ 104
' U)
This Application Becomes Your Building Permit When Approved Paid-JD-4-.7-0D . . .—I,
R ipt No. 66 Z,
Date c/C LrVB
Building Official 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 proceed as requested. This document
iii ,
hen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,it Certificate of Occupancy must be
stied.
Planning Director Date Special Conditions,if any .
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
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