HomeMy WebLinkAboutBuilding Permit 16-1111 DATE TIME
CITY OF PRIOR LAKE SCHEDULED (C9 G .9
INSPECTION NOTICE
ADDRESS `I '
OWNER
CONTR.
1 6 �wZ�
PERMIT NO.
PHONE NO. ❑ GRADIFILLING
0 PLUMBING RI 0 COMPLAINT
❑ FOUNDATIONFOOTING 0 MECH RI 0 COMPLAIN
❑ A 0 WATER HOOKUP RI
❑ FRAMING 0 SEWER HOOKUP 00 FIREPLACEREPMR FINALAL
❑ INSULATION 0 PLUMBING FINAL 0
O0 FINALT0 MECH FINAL
❑ SITE INSPECTION' r.-� `
COMMENTS:
WORK SATISFACTORY,PROCEED
❑ CORREC gill-Peal ION AND PROCEED
❑ CORR f,RK,CALL FOR REINSPECTION BEFORE COVERING
I Owner/Gontt
a.
Inspedo ��
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
/NSNOII
o f p$f0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT :z:/7://:
V t�4"/4iiM1VEsol� ,. White FilePERMIT NO.2. Pink City
3 Yellow Applicant
ase type or print and sign at bottom)
ADDRESS 14,090,y D S& q O z ZONING(office use)
�) id Cir. N E
( '6.46
ci
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER6... -�,,�,/ '��
(Name) t'Q,�.,rl �L s� 1 UWP -e r1SSC.(Phone)
(Address) CJS\ h &l ctt'v Gr. , v E-
J
BUILDER 4• 0,0d(Company Name) I Ca n . Ili (Phone) 9L- 7O1 'Os/5/
//--
(Contact Name) �b3 h T '1 Vc ! (Phone) IP/a- &�- 111//0111//0d-
(Address) e)Q1 �D 'gad-1 CC a-) R •I SGt.�& l66, BLUMSV i Ile, tAf 'SS--a 7
TYPE OF WORK ❑New Construction ❑Deck ['Porch Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition. ['Alteration ❑Utility Connection
ODE: ❑I.R.C. ❑IB.C. p�J
e of Construction: I U III 1V V A B PROJECT COST/VALUE $ 1-/, I1 S
panty Group: A B E F H I M R SU (excluding land)
ivision: 1 2 3 4 5 ❑Misc.
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 1 am the owner or authorized agent for the
above-mentioned • .•erty 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
ufficia an r • is permit for just e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed i
nsptons.
d! LAI
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 70Rece �r�► ��Q
Date 9/ �� l�' By *11
4Building 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
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 all inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372