HomeMy WebLinkAboutBUILDING PERMIT 16-1117 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1.12/11(.110
ADDRESS etl1.(4,S 52., tc.A,{c.Gts_e_
OWNER CONTR.
PHONE NO. PERMIT NO. /Lp -- [ ( 1 7
❑ 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 ❑
COMMENTS: QQ CD
o6
(7-
y
WORK SATI FACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR ► K •LL FOR REINSPECTION BEFORE COVERING
Inspe • Owner/Contr:
CA -9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
"SNOT/
IoW ,
e YRlp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE q [..-°u a t N
AND UTILITY CONNECTION PERMIT
•
PERMIT NO. % /
ADDRESS 1
��Nll►Es04� 2. Pink City
410
3 Yellow Applicant
case type or prim 1.White File
and sign at bottom) ZONING(office use)
`1 3 ). E.f%C\AV R C . N , Qi''.\.C'\.,� k ti SS 3-)� � Q
LEGAL DESCRIPTION(office use only) /1
1+ j- Sir PID ���' 431 '-��� k--)LOT �+�LOCK ADDITION � }t��� 004 �
OWNER � �
(Name) ,�"•��� � 6.,C
� � \,,,i,\R
(Ph
one) d1�, \ i��S,-�
(Address) 1u3 r, c` .�)Q �� �, f+ oC' M S`S"7e'
F
BUILDERe �"3 ' -�-�'3
(Company Name) C S C1 �f'^G„`\\a t'-.S (Phone) S DLA------"-l�(,
�..r. , (Phone) bl�-') i `
(Contact Name) \ t
(Address) %\\\-\ \ 4 \%S\ ry NA.- S« Q\:`t;: \v4 o r•} f n 'N)-11
TYPE OF WORK 0 New Construction ❑Deck ❑Porchjte-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition DAlteration ❑Utility Connection
0 Misc.
CODE: ❑I.R.C. DLB.C. 13l pad
of Construction: I II III IV V A B PROJECT COST/VALUE $
ccupancy Group: A B E F H I M R S U (excluding land)
ivision: 1 2 3 4 5
ct. I also certify
hat I am the
er
r authonzed agent
I ove mentionedhptrope�andfurnished information on this that all construction will conform to alln tich is to theexisting state and local st of my laws and will proceed nowledge true and eacco dance with submitted ubm plan I arm aware that the building
I
above-mentioned P
official can revoke this.� it 4, st case. Furthermore,l hereby agree that the city official or a designee may enter upon the property to perform needed mspectums•
V.(# y(, t701el \
an \�
XNew— Contractor's License No. Date
Signature
Park Support Fee # $
Permit Valuation Q t� SAC # $
')tN
Permit Fee $ (7`-tom g
Plan Check Fee $ � Water Meter Size 5/8"; 1";
I W Pressure Reducer $
State Surcharge $
Sewer/Water Connection Fee # $
Penalty $
Plumbing Permit Fee $ Water Tower Fee # $$
Mechanical Permit Fee $
Builder's Deposit
C
Sewer&Water Permit Fee $ Other $
$ 1
Gas Fireplace Permit Fee $
TOTAL DUE ! 11
This Application Becomes Your Building Permit When Approved Paid . Receipt No. V-V, v,Date 4. ` RRI y5)/litik)
Building Official Date
41 is
rs to certify that the request in the above application and accompanying documents is in accordnce with the City Zoning Ordinance and may proceed as requested. This document
hen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certi icate 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