HomeMy WebLinkAboutBuilding Permit 16-1112 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED i(Jl(?/��
ADDRESS iSCI,Com{- Lit V -4 D 2_, ---4 W 5
OWNER CONTR.
PHONE NO. PERMIT NO. /6) -I 0, Z
❑ 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: 4 fq 4I u J�
C 1 6 ce C1-2‘-'L --VI‘L
KWORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
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O* PRIp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F 9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -z---7 (�
tv
�HNES��
AND UTILITY CONNECTION PERMIT
ai I. white File
2. Pink City I PERMIT NO. 6, - / /
3 Yellow Applicant
ase type or print and sign at bottom) ZONING(office use)
ADDRESS
L4/04, `7102_ L Dig, LI&I L
(mor, (ricL Cif— NE.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 4
(Name) r• &OOd _ +. . 1 ■L. S-& tSSO • I (Phone)
LL_ / Prior �a-ke. M N
(Address) r'1 r 1cfe Cil�• Al`� G
BUILDER
(Company Name) tri c _, - 1 dL• } 6) �YC 1 0 (Phone) Ci5-ea-76 7—&-)95-
J
(Contact Name) D O ' (Phone)_ a La- (DSS_L`/C/0
(Address) /�0 J d i C!aJ 'd. Nl.. -k 100,, .S ,' v Ile, MN55331
TYPE OF WORK 0 New Construction ['Deck ❑Porch ' Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Conne i n
❑Misc.
ODE: ❑I.R.C. ❑LB.C• �3 �.
e of Construction: I II III IV V A B
PROJECT COST/VALUE $ 1
panty Group:
A B E F H I M R S U (excluding land)(lou
1 2 3 4 5 t
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 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
officia n revo is pc mit for j use. Furt ermore,I hereby agree that the city official or a designee may enter upon throperty to perform needcdci
1nspc ions-7
X
�ture Contractor's License No. Dat
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 # $
Plumbing 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 Paid c Z Rece . i". 6 g 7O I
Date 1 '�1,/(� By i /'
,•
Building Official Date
isto certify that the request in the above application and accompanying docurnents 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 construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for ail inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372