HomeMy WebLinkAboutBuilding Permit 16-1140 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 1 �'
INSPECTION NOTICE
ADDRESS / —7 2_ v, p , _ • .t
OWNER CONTR.
PHONE NO. PERMIT NO. ICo t_ __
❑ FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
❑ FOUNDATION
0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE FIREPLACE RINAL
I
❑ INSULATION 0 SEWER HOOKUP
❑ FINAL 0 PLUMBING FINAL 0� GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL("2--) ZP -R—,
COMMENTS:
/ ,,
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PRION
,/ i; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t( , �\ \x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE j
" `�' AND UTILITY CONNECTION PERMIT Ii
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I. White File
2. Pink City PERMIT NO. /6, I f
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3. Yellow Applicant
e type or print and sign at bottom)
RESS ZONING(office use)
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LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
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(Name) I ' I / ci l C) / / / /of 1" t 2 vi (Phone) 6 s -. ^ 71 8-4►
(Address) ) 1 alLI 17--e-er-+;, P I U DR S Z
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 1:11 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑LB.C• Vlisc: ��C)(
IirsT e of Construction: I II III iv V A B
panty Group: ABE F HI MR S U PROJECT COST/VALUE $
ion: 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-mentioned property and that all construction 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 thinpermit for just use. Furthermore I hereby aee that the city official or a designee may enter upon the property to perform needed inspections. /
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Signature / .S �owe,„gnature Contractor's License No.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
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 $/ZZs /,/7
Q
This Application Becomes Your Building Permit When Approved Paid /2-2--,(,'1 Rete' `t No. O Z�c t
Date 3C7_/(a By , �
Building Official Date
C Z 2
111 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
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372