HomeMy WebLinkAboutBUILDING PERMIT 16-230 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED [4/4140,
ADDRESS .r , • •ivA :.1-tri)
I
OWNER CONTR.
PHONE NO. PERMIT NO. / CO '?3
❑ 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
1 FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE • :K,CALL FOR REINSPECTION BEFORE COVERING
Inspe, or: Owner/Contr:
_ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
fPRICITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
4,0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 2$ 1
ti
AND UTILITY CONNECTION PERMIT
11!li�� ___, � I. White File PERMIT NO. /r
�F 2. Pink City / 6r d
a3 Yellow Applicant CCG.....����
se type or paint and sign at bottom)
DRESS 070 ` 'A o BruO c76 /&_ ZONIN.G�ffi^use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID Zs, 032__ 6 ZZ,J
OWNE(Name) CTf eer---tt 4-5C e. -6- (Phone)
(Address) •
BUILDER
(Company Name) P14-1s1 Cp h t . (Phone) rp 1 `} w0 - 5-5- e
(Contact Name) !I'1 hr1,-1,L C=44-,.`Lict... (Phone)
(Address) 901 d 4v4. cm,,+-< <'t-t-[f fr-I O.O' LA 4 - r3)..,_ 6'3 37'2
TYPE OF WORK ❑New Constru tion ['Deck ❑Porche-Roofing *e-Siding ['Lower Level Finish El Fireplace
CODE: ❑I.R.C.
❑Addition eration ❑Utility Conne tion
iilou ❑LB.C. ❑Misc. A ) L �`tUPOO
e of Construction: I II III IV V A B PROJECT COST/VALUE $
panty Group: ABE F HI MR SU (excluding land)
ision: 1 2 3 4 5
I hereby certify 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
above-mentioned .roperty and at 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 rev, t per ,,r iii t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X I1 I gC- s.1azri1 3- 1.- ).,
Signature Contractor's License No. Date
Permit Valuation Q t 0 !t 0_ I \/` Park Support Fee # $
Permit Fee $CJ /602._
,z y 00
SAC # $
Plan Check Fee $ 1 o 5( 3 0 Water Meter Size 5/8"; 1"; $
State Surcharge $ /I_` 00 Pressure Reducer $
Penalty ' $ 7" 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 $ 2-1 / 3 0
This A' .,cati/ B: es Your Building Permit en Appr,ved Paid 2_77I. �a.l-� Rece' t o.
Date 3_ _ By
A_ _. l k 3 &
Btu* nit Jfttcial 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
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
i
d.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372