HomeMy WebLinkAboutBuilding Permit 16-1173 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED lohbL
ADDRESS 15 a51 k) i b a. `:.cJ�
OWNER CONTR.
PHONE NO. PERMIT NO. ((p— l 173
❑ FOOTING 0 PLUMBING RI 0 EX!GRADIFILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
C( INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
P FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: )1164))
CL 4 ),*(.1L_
X7 WORK SATISFACTORY,PROCEED
❑ CORRECT I TION AND PROCEED
❑ CORREC, •-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!
INSNOTI
0tn
fPRICITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 0- �Z lb
4'14NEsot.
I. White File
2. Pink City I PERMIT NO. /6. / / 73 I
lease type or print and sign at bottom) Yellow Applicant
ADDRESS
/6Z�� ZONING(office use)
fid Ca. 4 /it
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER "� � ��
(Name) Mi. 4 Lee- ctrl (...et ,A.
(Phone)
(Address) `L351 AtK"ItC.H 67,0„, a., C
IBUILDER
(Company Name) ett-Of ioisPkts l (Phone) 4L- 3C/ 3YDQj
(Contact Name) ail Ill (Phone) fr12- 1.02. —ti 1
(Address) 12-'181 ettac. 151411 aye S 'i-y,/ MilWY-t;
TYPE OF WORK ❑New Construction (=Deck
❑Addition ❑Alteration Porchye-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Utility Conne
CODE: ❑I.R.C. ❑I.B.C.
0 Misc.
ype of Construction: I II III IV V A B
cupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ q 000
ivision: 1 2 3 4 5 (excluding land)
t
I hereby certify that I have himished 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
official can revoke this pe- for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X " ffiT.rte
Signature 7`Z !D�Z/i�
Contractor's License No. Date
Permit Valuation
Park Support Fee # $
Permit Fee $ SAC
# $
Plan Check Fee
wA���
State Surcha- Water Meter Size 5/8"; I"; $
t' Pressure Reducer $
PenalWO
'� ��� (� ak Sewer/Water Connection Fee #
Plumb P DTD e. Om $
p('� G Water Tower Fee # $
Mechar •tvoly
�teh@eBuilder's Deposit $
Sewer& ‘a -,fee $
Other $
Gas Fireplace Permit Fee $
TOTAL DUE $
This Application Becomes Your Building Permit When Approved - n I �\d
I Paid /0‘,- Re.-'.t No. • t (J
Date /c)„ 1 _r / 4, % _1 ,
/
Building 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
ed signed by the City Planner constitutes a remporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
4!Ilik
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4444 Tlo5,,.t, Qrwer D.-;,-..-T,aLe 1\/MT SG477