HomeMy WebLinkAboutBuilding Permit 16-1182 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE I apjlt,
ADDRESS
CONTR.
OWNER /
PERMIT NO.
PHONE NO. ❑ �GRppIFiLLiNG
0 PLUMBING RI 0 COMPLAINT
❑ FOOTING 0 MECH RI 0 FIREPLA
❑ FOUNDATIONA0 WATER HOOKUP 0 RIIVAL
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACEREPAIR TSL
❑ INSULATIONA0 PLUMBING FINAL
❑ FINAL 0 MECH FINAL
❑ SITE INSPECTION
COMMENTS:
f6iWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
Inspector�
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS ISN !
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
ration
of p�o4 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
0
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I d' (2.
+o►r rasoo I.
WhitPink Cit
Re
2. �� coy PERMIT NO. e2 , l( 0 2.
3 Yellow Applicata
(PtCasC or l and sign at bottom)
ADDRESS ZONING(office too
to
V' i 7 ,—
Crv
LEGAL DESCRIPTION(office use only) 1aI O 1007 ,(,/o/l/7 i 43°CdS
, 7 - PIDa5-__ z3/-00e---o
LOT BLOCK ADDITION �'t1�[ 1(0Y1A-� ��•� � �
OWNER ...0e_ ii 3 ret S��/
(Name) (Phone)
(Address) CY ‘-"- --.t../fr i T
i BUILDER ,(
(Company Name) I'4((/US v•..-(01
l be,,,/,4 ,
(Phone) (,.1- „?/ —f$7.7
1 (Contact Name) ' N A- I. t Viet✓ / (Phone)
I
(Address) 09 S C Q (I -.c.ea d 4 Urs UI/L 411 cry 7 7"
TYPE OF WORK 0 New Construction ❑Deck ❑Porch -Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddinon DAlteration ['Utility Connection
CODE: DLR.C. DLB.C. 0 Mtsc .0 ..
Type of Construction: I II DI IV V A B PROJECT COST/VALUE $ .2 c oaf
. , cy Group: A B E F H I M R S U
i'vision: 1 2 3 4 5 (excluding land)
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 men honed property and that all consmre' will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for' e. urthermare.I hereby agree that the city official or a designee may enter upon the property to perform needed impetuous.
X 8C-43/ 30 ( /D// t7/6
Signature Contractor's License No. Dark
Permit Valuation Park Support Fee # $
Permit Fee S SAC # $
Plan Check Fee $
0 6 Water Meter Size 5/8"; 1"; S
State Surcharge S 1 D?) , / Pressure Reducer $
Penalty $ ' c D 61 � Sewer/Water Connection Fee # S
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee S TOTAL DUE $ J n�-t co
This Application Becomes Your Building Permit I U When Approved Paid ` r_ Receipt l[/O,
Date (/)1,( 7 ,c tc, By
Building Official Date
This is to cenify that the request in the above application and accompanying documrnu is in accordance with the City Zoning Ordinance and may pnxeed ax requested. 7 his locum cit
signed by the Cay Planner constitutes a temp nary Certificate of Zoning compliance and allows construction to commence. fltfum occupancy.a Certrficase of occupancy mast be
d.
‘Nir
•
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372