HomeMy WebLinkAboutBuilding Permit 16-1143 DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /(l L(a
ADDRESS L C(c'1 L1 tkA.A,a C�
OWNER CONTR.
PHONE NO. PERMIT NO. I G 1. I �3
❑ 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 0
COMMENTS: /1
0 c.,4-04, ,...,,
yf WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
❑ CORREC ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
mSNOTI
\o9 .
o1 P411/0CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT f / '
a�HNE80��
I. white File Date
NO. //[4(
2. Pink City c /
3 Yellow Applicant
ase type or print and sign at bottom)
ADDRESS ZONING(office use)
\' '' 'k E�Nc-\%\)q, Ck VN)VMCIC,. Lc\ t ESTI k
LEGAL DESCRIPTION(office use only) � / /
LOT/ ?BLOCK ADDITIONTe7 -e/S- � � PID ?5'137- a9Y D
OWNER ¢,
(Name) 7, ;�y�c� a 1.1C1'‘''' (Phone) (i l,`),6 - I.,5 VI
(Address) \. k\ r
\\ E. c\ 4 0\V4 - N,\ Q,k‘C\ \-4\41f51.1''L
BUILDER M1
(Company Name) CSC, ` t.,- \,k,^S (Phone) ‘c .`'VIZ-),1:3S
(Contact Name) \-Ai. `C c�a^ ot\ (Phone) ti .-161 --5.1\L
`
(Address) \-\A C `,\�51,4 ,.S. ��4c:''^\v,c�\o I 14\\ SS \()
41iirTYPE OF WORK 0 New Construction ❑Deck ['Porch 'Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: ❑LR.C. ❑LB.C. 0 Misc.
of Construction: I II III IV V AB
:
panty Group: ABE F HI MR SU PROJECT COST/VALUE $ r�t ow.
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 authonzcd agent for the
above-mentioned property and that . 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 this
�rm` oriii,use. Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspcc ins.
x i', " � - %C. r�N� (): �I�,r\ IG
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 0 Water Meter Size 5/8"; 1"; $
State Surcharge $ I 0. 6-0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 1 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /0 el'- a
This Application Becomes Your Building Permit When Approved Paid < </`) ' [
I D� Receipt No. Q
Date O IIP By
a l
Building Official Date
Ilto 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
signed by the CityPlanner Diretutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Ceruficate 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