HomeMy WebLinkAboutBuilding Permit 16-0882 DATE TINE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t. `t 11€,
ADDRESS C, /'app
OWNER CONTR.
PHONE NO. PERMIT NO. J G L . kg 1.
❑ 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 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: 5-,,- ,
.,,,I,......3-9..e._....A...„,.. 7
J?) WORK 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!
INSNOTI
PRI(ii) CITY OF PRIOR LAKE BUILDING PERMIT,
Date Rec'd
ti,r/ \\x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �` 4.16
AND UTILITY CONNECTION PERMIT
r 's7'
ArNESO
1. White File
2. Pink City PERMIT NO. /6. , g 0
3.Yellow Applicant
e type or print and sign at bottom) ZONING(o1/74, 4 DawFIL---A, 'b---4t2L-7--. 1.i-z-7,-: ffice use)
RESS
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNER (%) /-i g ct 1A) G` O (Phone) d,51994, -90745
(Address) 17426 6 +EJ J2,Ii"/L [ip{( ^_ �3 .L ,. , t-�S/O7 «", "[N
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding DLower Level Finish ❑Fireplace
DAddition ['Alteration ❑Utility Connection //�� _
CODE: DLR.C. ❑I.B.C. 'Misc: 504"e-- '8
Type of Construction: I II III IV V AB
panty Group: ABE F HI MR SU 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
abo --mentioned property and that al construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
officr j an revoke this pe y:t for ju ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
��
% ` / 16
./ / �
' : ii `/ILf[/
igna Contractor's License No. Date
t
Permit Valuation 2.f i p v.. o(. Park Support Fee # $
Permit Fee $ 73, 7,,
SAC # $
Plan Check Fee $ 4-7, li-- Water Meter Size 5/8"; 1"; $
State Surcharge $ /` p° 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 $ /22 - 69'
- ea C'"Y7(
/ r' Recei t No. ,�J
This ' .plication Be mes Your Building Permit When Approved Paid /Z-�.-C� � � S
I Date 5', /� By. r -
e/ uilding Official Date
il
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
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