HomeMy WebLinkAboutBuilding Permit 16-0091 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Z /(4/6o
ADDRESS / 2 3 (n ( 9j
OWNER CONTR.
PHONE NO. PERMIT NO. / 6:) . '? f
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 1SLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: f
COM
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: O: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
ration
(ri.-
ri j CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z �'
x AND UTILITY CONNECTION PERMIT
v ,p,
41� �� I. white File PERMIT NO. /(
7VNES0 2. Pink City / ^ /
3 Yellow Applicant (�
ease type or print and sign at bottom)
ADDRESS ZONIN (office use)
141 3 ito CAkc)LwooD LAS (QE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ,
(Name) M AK1� `K QE 1 SS(--' (Phone) -1 �2 r 157, 1,8614
(Address) 1456,1 4 L—A 6 A IAA A Vr � ` W A M kJ 5S 37
BUILDER (-IS 2--746 , (p fp�p
(Company Name) 11ki r N t0c7vt1 D t,CTF ITTE-9--5. 1 OC (Phone)
(Contact Name) DA./I D 62S'rA( (Phone) 9'52-' 356,, 50
(Address) t 2.400.5 C 6 ... i I --tit/AV 6i SA VAC7E Mt J 5 31&
TYPE OF WORK D New Construction ODeck ❑Porch DRe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
Illitc.
DAddition DAlteration DUtility Connection
ODE: ❑I.R.C. ❑I.B.C. l Misc. VJiNDaNAl R_ePLA 6E U 1(E U k
e of Construction: I II III IV V A B PROJECT COST/VALUE $ 7900
panty Group: ABE F HI MR SU (excluding land)
ivision: 1 2 3 4 5
I hereby .rtify that 1 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-, ioned property and that all c struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official evoke th.permit for just a-se. rt ei ore, er that the city official or a designee may enter
uponn the property to perform needed inspections.
X ; '
414/051 Z /' . IAF,
ignature
Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
•
Plan Check Fee $ Water Meter Size 5/8"; 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 $ /0i-- cL1
This Application Becomes Your Building Permit When Approved Paid 1 U 4-- J Re i pt No. 416 4
Date 1._1 / —
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
n signed by the CityPlanner constitutes a temporaryCertificate of Zoning compliance and allows construction to commence. Before occupancy,a Ceruticate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372