HomeMy WebLinkAboutBuilding Permit 16-1159 CIINSPECTY OF PRTIONIORNOTICEKE
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SCHEDULED
DATE TIME
ADDRESS - CONTR.
OWNER ----- ‘
PERMIT NO. ❑ GRpDIFILLiNG
PHONE ❑ COMPLAINT
❑ PLUMBING RI ❑ FIREPLACE RI
❑ FOOTINGD ❑ MECH RI HOOKUP ❑ FIREPLANE FINAL
❑ FOUNDATION 0 WATER HO ❑ GASLINE AIR TSL
❑ FRAMING ❑ SEWER HOOKUP
❑ INSULATION ❑ PLUMBING FINAL
❑ FINAL ❑ MECH FINAL
❑ SITE INSPECTION
Oa)
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COMMENTS:
i
WORK
SATISFACTORY,PROCEED
PROCEED COVERING
❑,CORRECT ACTION AND
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE
Inspector:
_ OwnerIContr: VANCE
CALL 447'9850 FOR
THE NEXT INSPECTION 24 H HEALTHURS IN H AD .
D SAFETY!CODE REQUIREMENTS FOR YOUR PERSON
ration
of PRlo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,, c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /o ,. -7 „ g a
AND UTILITY CONNECTION PERMIT
U ril
~�NpggOt� 1 White File
2 Pint: city PERMIT NO. // / /33
3 Yellow Applicant C [!�
4110 (Please type or print and sign at bottom)
ADDRESS n I ZONING(office use)
5300 s 63a 2 35ovrr-i `Qr�'o f lAkt
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 1��� HA k
(Name) D (Phone)
(Address)
BUILDER tt ,, ''� �c C
(Company Names \c,. Wi *ot ti C'fl� ��a A. (Phone) 9JZ.--91/0 --„‹.35--ii
(Contact Name) Jae.- (.� /�,�A/ (Phone)
(Address) 4102. 17I4 I4 Si- _E `-1 6. f -e, mill
TYPE OF WORK 0 New Construction ❑Deck ❑Porch Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. DI.B.C. 0 Misc.
40 Type of Construction: I II III IV V AB PROJECT COST/VALUE S
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 3 4 5
1 t hereby certify that I have furnished information n this application which is to the best of my knowledge true and correct. I also certify that 1 am the owners authorized agent for the
above-ment oned pro.•rty nd that all construe ion 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 yoke this r it for lust cause ,irthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1 L. ELti0 2-390 '°/
)10„. Sign. re Contractor's License No. Date
Permit Valu tion ! Park Support Fee # l $
Permit Fee $ SAC # I $
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 $ l0' - ()O
This Application Becomes Your Building Permit When Approved Paid /04 6"-Z) Re,-ipt No. 76 7 0
Date_ /0 7. ! (� `'Y
Building Official Date I /
41111 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