HomeMy WebLinkAboutBuilding Permit 16-1253 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED ` '/I ((,
ADDRESS 114(.0
OWNER CONTR.
PHONE NO. PERMIT NO. / Ce —12 S
❑ 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
Al,FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 4,1-,,,e)6
0,00[1° \ *C.(7"
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORREC "•-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CALL-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
LNSNOTI
PRIO.PCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
(4.
t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
It AND UTILITY CONNECTION PERMIT
N1VE8d I. White File
2. Pink City PERMIT NO. l0 ' j `3
ase type or print and sign at bottom)
DRESS Yellow Applicant
Ilk
/4I11 o� ,6rJ�ie /eId z ,/raf/ �i ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 9• G ° 0(740
OWNER Aewa - ease
(Name)
Q / iv
(Ph/one)/ �,yy� //
(Address) /�&b j'' Bridle i\ i t Trait' ivi . ��+or `ate inn.. .77 3 72
BUILDER .
(Company Name) Cove //1 r &Oder LU (Phone) 7‘3--,c9 02 - 919?
(Contact Name) /\ /Lf�
Pt o, Ba x,17 '/ j (PhLoune`)
(Address) x ! !cq� ,I yiro � /�l . J
�r�7% 7 -
TYPE OF WORK 0 New Construction DDeck OPorche-Roofing
❑Addition ❑Alteration ❑Re-Siding ❑Lower Level Finish ❑Fireplace
41;10
❑Utility Conn ction
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B 153 p• ��
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ / ✓8! 7-
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 tate 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 c,evok this pei,it for ust caus Furthermore,I hereby agree that the city official or a designee mayenter upon the property to perform needed inspections.
8C 70557/ 10-.2k- .20/4,
Signature
Contractor's License No. Date
Permit Valuation Park Support Fee #
Permit Fee $ # $
Plan Check Fee $ �� Water Meter Size 5/8"; 1";
$
State Surcharge $ 1 00 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
409
This Application Becomes Your Building Permit When Approved Paid 1 IocfL� l�./
Receipt No. 72_), ---
Date /0, . i B r
Building Official Date G
is 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
•n 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
cd.
• Planning Director Date
_• .___. .._____ Special Conditions,if any