HomeMy WebLinkAboutBUILDING PERMIT 16-1067 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED //e
ADDRESS dO (1 opi Ail
OWNER CONTR.
PHONE NO. PERMIT NO. it — /nC,vs?
❑ 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 0
COMMENTS: gszoar. ( Qesto Sm
VIWORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR- T O-K,CALL FOR REINSPECTION BEFORE COVERING
Inspe •r: 'a Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
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4:71\4:011 .)i-
:/ v CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ANNE SD��
I.white File
type print and 3. City I PERMIT NO. /(o . / 0 G 7 I
RESS �at bottom Applicant
111F
ZONING(office use)
r-213 ►-k,mm ird NoPl%k KL X12I i
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) t m c. e + V-Arn . i.i (Phone) 6'12.- cc$- `1()
(Address) .l„tvc,
BUILDER
(Company Name) Neu.) W; C -Vex- ArnegIca
(Phone) (oSt— 2.L.j7 _ pv{Gt
(Contact Name) WharvicA c,%}cCfreg (Phone) SanMA
(Address) 2,1.1_,S Old tium %. >
s 17)(► 1 Iv'1h1 = t12-
TYPE
t12TYPE OF WORK 0 New Construction °Deck °Porch ORe-Roofing °Re-Siding °Lower Level Finish 0 Fireplace
°Addition °Alteration °Utility Connection
CODE: DI.R.C. DLB.C.
Type of Construction: I II III IV V A B ` Miss: or
L U .�
a ..u.ancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 2,%CO•(.33
OII: 1 2 3 4 5
(excluding land)
— by certify
above mea that I have furnished 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
official can revokeneand 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
permit .'just cause. Furth .•.. -,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x Lid/ JOY:-
Signature Contractor's License No.
G3G2,441R ig Date o "a II. let
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 t Building Permit When Approved I Paid / 0
Date Recei No. �0 9 7-1-77, '�?� /( ( By
Building Official
Date
This 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
by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
Planning Director Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditionsif
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372