HomeMy WebLinkAboutBuilding Permit 16-1137 DATE TIME
CIPRIOR LAKE
IN SCHEDULED j
INSPECTION
ECC TION NOTICE
41-1-(4‘' _-----
ADDRESS 2- ' towabaggil
OWNER
CONTR.
� I I
PERMIT NO.
PHONE NO.
❑ FOOTING
0 PLUMBING
LUMBING RI
❑ X,GR
ADI
FILLI
NG
T
❑ FOUNDATION 0 MECH RI 0 COMPAI
❑ FRAMING 0 WATER HOOKUP 0 LCE RI
❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL
p FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
-------
COMMENTS: niV `
0C _- VIC
lj A
Yid. ..:RK SATISFACTORY,PROCEED
O RRECT ACTION AND PROCEED
CORRECT WO ,CALL FOR REINSPECTION BEFORE COVERING
O COR
pwnerlContr:
Inspector:
_ 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CALL 447 8 HEALTH&
CODE REQUIREMENTS ARE FOR YOUR PERSONAL
LYSWOTI
o* ?Rio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
'� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U � rf
y� ��, /. kQ 1 `� GUaf� t White File PERMIT NO. /(P_ 7,3 '7
1irgE5o /// // ///^^�'' jj`/�J`2. Pink City <
5.78. \ /v/�h. Ydlow Applicam 1
(Please type or print and sign at bottom) J c VVV
ADDRESS
?i/01
ZONING(office use)
5,2 (7 Lein/el nre,k,'
35
•
. . 7.z.,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER(Name) c1/-e fl L tut 1 ea ti3 (Phone) 610? - 396— 1l 0 3 d
(Address) 5 a 7 Lerntei (2L
Y&L _ 5 E ,T ri L L
by c. 0l`-' 6'53 792
BUILDER / ?�'s —/V7,2_,
(Company Name) Q.t.l&.f IR 1_ 0.o rt Q-CJS (Phone) ��
(Contact Name) ) 1-1)111 L-0 DY►'1l-C /(Phone)
(Address) gif9- (_ty-1"-e-✓ rfti l G�cprinLick? G--w pi DJ Jas 3
TYPE OF WORK D New Construction ❑Deck ❑Porch e-Roofing ORe-Siding DLower Level Finish 0 Fireplace
❑Addition DAlteration DUtility Connection
illoype
❑Misc.
CODE: DI.R.C. DLB.C. / Q' �/
of Construction: I II III IV V A B PROJECT COST/VALUE S O i
ccupancy Group: A B E F H I M R S U (excluding land)
ivision: 1 2 3 4 5
I hereby certify that I have famished 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 permit for just ca se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ‘In
n 60000490 /(a, q/Q3Ato
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Signature Contractor's License No. Date
Permit Valuation 1----- Park Support Fee # $
Permit Fee �,��' SAC # $ j
Plan Check Fee is-1 Water Meter Size 5/8";1"; $
State c- NVI- 0$A° C,O Pressure Reducer $
Ten', Q� S -
� O.° Sewer/Water Connection Fee # $
Plum). @pfp Water Tower Fee # $
,a,,ie
Mechat 0G� $ Builder's Deposit $
Sewer& .ermit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid [ Receipt No. /76 ii1
Date B1
Building Official Date
is 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
ilfid
en 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
ed.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372