Loading...
HomeMy WebLinkAboutBuilding Permit 16-1183 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /6127/1/4 ADDRESS / `, Rd q f x tail Y ' ` OWNER CONTR. / PHONE NO. PERMIT NO. /60 I l ❑ 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 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: (0_,T.(,A r) NOS.0...-Vg , `--- Le t WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WO CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447- 85 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI of PRJ1+P CITY OF PRIOR LAKE BUILDING PERMIT, ~ c . TEMPORARY CERTIFICATE'OF ZONING COMPLIANCE + Date Recd Iv AND UTILITY CONNECTION PERMIT I. White File 2. Pink City I PERMIT NO. itc tiiL c j- I ase /,e or .rint and si.., at bottom) Yellow Applicant ADDRESS ��-Z - J X TR►L CT ZONING(office use) t....4 > LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION FID a ' , ado OWNER (Name) A//WI e,fl S?-o NE (Phone) 6,67-'6"/- 01-'15— (Address) /c241rev 7-Ai I. GT PRjoK t-4kE MN 5 -42 BUILIII U Comaol 130x,7 Cot,.p en Lt-C, Con �_ rjo,.,,, (Phone(Phone2AddrJe e/ sem. NE 81a;,t e MN SSa/5/ TYPE OF WORK 0 New Construction ['Deck 17 ch nnecgRe-Roofing ['Re-Siding ❑Lower Level Finish Q Fireplace ['Addition (]Alteration n CODE: DI.R,C. DI.B.C. e of Construction: 0 Misc. I U HIIV V A B panty Group: A B E F H I M R S U PROJECT COST/VALUE $ /S,ppC, o0 '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 can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X -- (3C3D5'O$(y /D//2// Signature U Contractor's License No. Date Permit Valuation . Park Support Fee # $ 11111111111111.... I © SAC Plan Check Fee # $ IIMINIMMEMOrplailli, ... Water Meter Size 5/8"; 1"; $ 111=11111111111111/1111111111111.11 Pressure Reducer Penalty $ $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee UMIIIIIIIIIIIII Other Gas Fireplace Permit Fee 111111111111111111 TOTAL DUE 11111E0Willi 11 This Application Becomes Your Building Permit When Approved - Paid LabiaRecei.t No. in�'' DateCIII B 4ERZFAINIMINII Buildim'Official Date 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 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 24 hour notice for all inspections(952)447-9850 Special Conditions,if any A4.94.11.,1,-..r., Qn..oer D.:..,.r.,Le T,t?T Sc21')