Loading...
HomeMy WebLinkAboutBuilding Permit 16-758 DATE TIME CITY OF PRIOR LAKE SCHEDULED 2-5 INSPECTION NOTICE ALo ADDRESS 17 c /7 0 C OWNER CONTR. PHONE NO. PERMIT NO. 1 C- `1 ' c ❑ FOOTING ❑ 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 0GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL & a.trt, COMMENTS: Ci—iss—J-re— V,V). WORK SATISFACTORY,PROCEED CORRECT ACTION AND PROCEED 0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector: ..::231.Q} Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI o PRI''� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �7 " f \ l triAND UTILITY CONNECTION PERMIT G'Y t At iv Eso 1. White File 3. Pink City PERMIT NO. AD r6� 3. Yellow Applicant e type or print and sign at bottom) RE$S ZONING(office use) / V0e) ~ t7Ye)A 5141/ yef S. / /C 0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID c,/-C-. -7 0(3-© .? S• ;-)1 . 013- l OWNER o7 &in'e e ia-36'-?a' 7T (Name) /IPA"- �` (Phone) (Address) 9611 o2 Y- 5:31i" ( 144'CJl't ' BUILDER �� � I (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porche-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace ❑Addition DAlteration ❑Utility Conne ri n CODE: ❑I.R.C. ❑L B.C. ❑Misc: T pe of Construction:6I II III IV V AB panty Group: ABE F HI MR S U PROJECT COST/VALUE $ ion: 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 property and th t 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 ca permi aus urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins-moo( Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ /03 C SAC # $ Plan Check Fee $ ` Water Meter Size 5/8"; 1"; $ State Surcharge $ / vJ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ 00 Gas Fireplace Permit Fee $ TOTAL DUE $ /by �) 00 /by This Application Becomes Your Building Permit When Approved Paid FV(/ Receipt litki, Date �Ly- iso By Building Official Date IIIto 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 igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372