HomeMy WebLinkAboutBuilding Permit 16-1043 DATE TIME
CITY OF PRIOR LAKE SCHEDULED k
INSPECTION NOTICE
ADDRESS 4"2--A
OWNER CONTR. /
-11
PHONE NO.
PERMIT NO. f4-1 G
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOOTING DATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL❑ FINAL 0 PLUMBING FINAL 0 ASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
n
%ORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT RK,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!
INSHOTI
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PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCEG� /AND UTILITY CONNECTION PERMIT `EsolP
�. whiteFileI PERMIT NO. `�lti
2. Pink City
ype or print and signYellow Applicant at bottom)
i,4.,..
ADDRESS
galil . ZONING(office use)
, �-�!//
irriir14,04,
LEGALDESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) LaVaptc. knfruzoly
(Phone) grg-—4/517.-6P3--??
(Address) 421/ 2,14,4cof cl_r-
BUILDER
(Company Name) 4,, /
t LC C► (Phone) 4.l0,27 �el 3Z
(Contact Name)
�l.� / (Phone)
(Address) )1/4-{t i o (r741
/ 1,,f .-
TYPE OF WORK 0 New Construction ❑Deck ❑Porch Roofin
['Alteration g ❑Re-Siding ['Lower Level Finish El Fireplace
❑Addition ['Utility Conn coon
CODE: ❑I.R.C. ❑LB.C.
0 Misc.
pe of Construction: I II III IV V A B ��` �
liit
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ �Q , i;
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 authorized agent for the
above-mentioned pro 'rty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can revoke thi permit rust e. Fur e ore,I hereby agree that the city official orja designeedetmay enterennterupon the property to perform needed inspections.
X S gnature `l.�`6���J'i C7/3 4
Contractor's License No. Date
Permit Valuatio Park Support Fee #
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
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
1 $
I
Gas Fireplace Permit Fee $ TOTAL DUE
$
This Application Becomes Your Building Permit When Approved OULt //s9 7
Paid f Receipt o ((/if(�v'
Date '_ /3,/b 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
when 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
issued
Planning Director Date
Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372