HomeMy WebLinkAboutBuilding Permit 16-1181 CITY PLADATE TIME
INSPECTION()RN! NOTICE SCHEDULED t 4'3(\IL
ADDRESS LFsol.0 Tit,,t."..- A...51-
OWNER CONTR.
PHONE NO. PERMIT NO. t L . Int
O 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 0 MECH FINAL
COMMENTS: � ..
s<
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: CcI__12Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
_ 1
oai "to. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 d 2 Vox AND UTILITY CONNECTION PERMIT
v G
I.White Cityie /"' . / /g/
~0wittedo. 2. PinknkPERMIT NO.
• 3 Yellow Applicam
ease type or print and s6ign at bottom)
ADDRESS1,, / r ZONING(office use)
6 Qr .XT 2—.
LEGAL DESCRIPTION(office use only) I b 0'7 .7-0 weA/i/1` 4}00 6 S
LOT BLOCK ADDITION U n i-EI ) Z C,(I►u-'o PIDD`5-2jl e0 l D
OWNER (''-e VE 731fau S 6i (Phone)
(Name)
(Address) �tN e/ s 4.----
BUILDER / (pi_.
�SZ /0 - �j�/(Company Name) /4l SUS' /ff`1 tr Z I e -7 °ie 4r'c (Phone)
(Contact Name) ```r/1 l I V4� Y,/' (Phone)
(Address) //7 9 ( C R /( o1'?d (Sl,KA)s l(f/'C. H/() 5"f")-L—
TYPE OF WORK 0 New Construction ODeck DPorche-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
OAddition ['Alteration ❑Utility Connection
1;
CODE: DI.R.C. ❑I.B.C. 0 Misc.
ype of Construction: I II III IV V A B PROJECT COST/VALUE S it a o10
ccupancy Group: A B E F H I M R S U (excluding land)
vision: t 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 constnr 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 it for just . urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed rnspectums.
X
Ve 7( 361 /0(/Z//‘
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 1 VO SAC # $
Plan Check Fee $ f Water Meter Size 5/8"; 1"; $
State Surcharge $ ` ` ressure 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 $ 10 L/-.00
This Application Becomes Your Building Permit When Approved Paid 16)(# - Receip No. TiQ
Date (.d (Z. ,Alt BY
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
iipolen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
ucd.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372