HomeMy WebLinkAboutBuilding Permit 16-0080 DAT TIME
CITY OF PRIOR LAKE \25
INSPECTION NOTICE SCHEDULED
ADDRESS I ( 3 3 0 V �. - r\cxCA.).I 4%-U
OWNER CONTR.
PHONE NO. PERMIT NO. 1 S 0
❑ 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
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
t-tJ �✓o
COMMENTS:
-OIVORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ 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!
msnon
Ic
f PR/04 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
y'NNEsolr 2I., Pink White
nka C ty PERMIT NO
./& a OD
3 Yellow Applicant
e type or print and sign at bottom)
DRESS ZONING(office use)
(0330 \) ‘k ckoc►o C. AA. QC_ 5 ' I
LEGAL DESCRIPTION(office use only) •
LOT BLOCK ADDITION PID
OWNER Lo�,e . G ( t - ^ 1 /,, Q
(Name) ►?+G 1 (Phone) CA UOS In 3y
(Address) t
BUILDER
(Company Name)- Yo t.v.5cA'\ .1$i Pvt\d-e.-(S-e tV (Phone) (05 L - (C)L1—L(C ZS
(Contact Name) (Phone)
(Address) 19 Z O CA• -?.d. "C." t.).)•e SA- •I h05-e v>klf$ \--x\N.). 55 47_2)
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration DL'tility Connection I�/� Cil
(�
6-0.;-\,..f)
CODE: ❑I.R.C. I.B.C.❑ 0IvlisYN6 Ul - l� t (/�/)1 d0 S
Type of Construction: I II III IV V AC,t'S" i t0
pancy Group: ABE F HI MR SU
`'"`O OST/V JE $ 1 1930
sion: 1 2 3 4 5 (excluding land)
— I
I hereby certify t at I have furnished inf nmation 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-mention,. property and that traction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can rev e this permit for to•• e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # ! $
Permit Fee . $ SAC # l $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 Pressure Reducer $
1 Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other I $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid 14)61,0 Re ipt No.
Date 2._,14_41k9 _By
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
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
1 Planning Director Date
Special Conditions,if any