HomeMy WebLinkAboutBUILDING PERMIT 16-1231 Y PI:NI LADATE TIME
INSPECTION IONOTICEKE
SCHEDULED
ADDRESS ( , 7—''.
OWNER CONTR.
PHONE NO. PERMIT NO. & -_____:_all________/Z 31
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 COMP
0 FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE I
F
:F FINAL 0 PLUMBING FINAL ❑ FIREPLACE FNAL
❑ SITE INSPECTION 0 MECH FINAL 0
❑ GASLINE AIR TST
COMMENTS:
rGcRit1
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
❑ CORRECT ,b/ ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. WOI Fr
Owner/Contra
CAL -•850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
I PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0
s. t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Fo* 3' AND UTILITY CONNECTION PERMIT (0. I 6 ,
7...) „
11) divi,v„E,040. 1 While File
PERMIT NO.
' 767/23-7
.2 Pink City
i Vat. Applicant
(Please
type or print and sign at bottom)
ADDRESS 1 ZOpING(office use)
3 11 I 6 6 L.`l Ni\At-k1-c---12... Tle-A- i t--- t.ivi
1 1 ti56
LEGAL DESCRIPTION(office use only)
LOT 1BLOCK ( ADDITION /4714404 S7L ) Aca,AJ PID
OWNER
(Name) JACK i &A-RO L/INI tI9ST;t9--4) _ (Phone) 32.38 .
(Address) -6 1+46 ...7- Z. I-RA t Kii,d, 7R16 0-- i.--A- .:4 Mt) _......................_
_
BUILDER
(Company Name)1/4/1/414-46 sd _ f- rrr&es toc (Phone) 952-'7 744-GI°
(Contact Name) 13br3 71'JIS (Phone) 52--q0K
.--cF1FC.0
(Address) _ I
12.teo 5-- cg_e-et_ VI eia Alii 5A-qp,c7c AN 5537S „......_
......_. ..._
TYPE OF WORK 0 New Construction DDeck 0Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
°Addition ['Alteration ['Utility Connection
CODE: 0.1.R.C. DLB.C. it Misc. WA/Z-Arc-4 2.M1 eo-DOORS 1-4t6:..41 LI% U KC--
Type of Construction: I IT
Occupancy GroupABIIIIV V AB PROJECT COST/VALUE S 21 i 552
: E I' III MR SU
Division. I 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 true and coned. I also may that I am the owner or atrthoraed agent for the
shove-mentioned property and that all construction will Conform to all exISttng State and local laws and win proceed in accordance with submitted plans. I tin aware that the building
official can revoke this permit forms:cause Furtheimore,thereby agree that the city official or a designee may enter upon the property to perform needed inspections
xZ C Ali.' LO 51 .10-24341._
.
Signature Contractor's License Na. Date ... —
— ......._ _,....
Permit Valuation -1 Park Support Fee # $
Permit Fee S t SAC # $
10-
Plan Check Fee $ 1-, 0--
v" i'"Water Meter Size 5/8"; I"; $
..,......_
State Surcharge S (j3D Pressure Reducer $
Penalty $ i ....
I I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
- — —
Sewer&Water Permit Fee $ 1 Other $
Gas Fireplace Permit Fee $ , 1 TOTAL DUE $ /0(--1::O1
,._
This Application Becomes Your BuiliingPermit When Approved r Paid –/-00—3 i
Receipt No. --/ I
i _
[ Date
/0 • a4-1-4a—LPI-------
.9-"" ---- ------
Building Official Date
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,
,
l issued
Planning DirectorSpecial Conditions,if any ,
' - Da
54 hour notice foraltleinspection;(i52)447-9850
4646 Dakota Street Prior Lake,MN 55372