HomeMy WebLinkAboutBuilding Permit 16-1009 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Fj\91:) j J
ADDRESS J � J ori/o/
OWNER CONTR.
PHONE NO. PERMIT NO. `(p
❑ 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 ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: b ►^�
t
44—WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. AI — Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o� rx�o� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
... AND UTILITY CONNECTION PERMIT
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40iNzsoe' I. White
File
PERMIT NO. �l
2. Pink City `6, �, t 0 tN
3 Yellow Applicant
5qa ) Of 't 0 )€- Ri_a-Ce SE__
type or print and sign at bottom)
RESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 13-el. U/'3 5
(Name) �( i CGS ��� (Phone) 9 a-a0(a r
(Address)
BUILDER
(Company Name)--?itwev.x�\ $vJ 'Ah kc S-e N... (Phone) (DS i - lei-40 g8
l (Contact Name) (Phone)
(Address) 19 2 O CO. _ . "C" We S.1- •) N e.vi11-el Y`(\N Ss 11-?-
TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑ irepla(\ (O Oa^(5 Ent
❑Alteration ❑Utility Connection 'Kee a /0 LAALAA .t.5, a P �j�Q ,,�
CODE: ❑I.R.C. ❑LB.C. ❑Misc.� S �tR Q�Ct 5_ "1_"+, t
lote of Construction: I II III IV V A B PROJECT COST/VALUE $ 3) to/7
pancy Group: A B E F H I M R S U (excluding land) /
ision: 1 2 3 4 5
I I hereby certify that I have fumished 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-mankioned property 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 c revoke this permit 1 t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform net, ed me cctions.
� C Contractor's License No. i
Signature o re
Permit Valuation Park Support Fee # $
Permit Fee ( $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
PIumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved PaidCeipt No. C��
Date 1, 1. <&
Building Official Date 1
into 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 constriction to commence. Before occupancy,a Certificate of Occupancy must be
cd.
Planning Director Date Special Conditions,if any