HomeMy WebLinkAboutBUILDING PERMIT 16-531 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED lb
ADDRESS C c v AC-AO(102 o'a9
OWNER CONTR.
PHONE NO. PERMIT NO. !
❑ 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 "AEr
COMMENTS: 6.1
Nc119ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector . ) Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
WSNOTI
Oi PRI � CITY OF PRIOR LAKE BUILDING PERMIT; Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 , j� l�
.. AND UTILITY CONNECTION PERMIT `t`'
v �
y� l� White File PERMIT NO. `j3
NNESD 2 Pink City //
3 Yellow Applicant V!
ase type or print and sign at bottom)
110
ADDRESS ZONING(office use)
65---q Fy1/4,z,„„p____ v*...$4,-(A-A
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ,--
'U 4N14Nk
("-W-) 61 (Phone) ' 5 — s Q - 775-69
(Address) /6
( (Coomppanyy Name) Sc— ‘ID 1�C . (Phone) 6 I'--- 6 �-- Mr
(Contact Name) 'n 5t--k V A t' '-'7 (Phone) 451
(Address) t 14 I v`e_ S ZsL-V . ,z)
TYPE OF WORK ❑New Construction Xeck ['Porch , e-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition DAlteration ['Utility Connection
0 Misc.
CODE: ❑I.R.C. ❑I.B.C.
e of Construction: I II HI IV V A B PROJECT COST/VALUE $
Iliupancy Group: A B E F H I M R S U (excluding land)
vision: 1 2 3 4 5
I hereby certify that I have furnished i. this application which is to the best of my knowledge true and correct. I also certify that I am the owner in authorized agent for the
above- -• oned proper• ' t all onstruction wi • rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev.-- -"lift,' f.r u t -- e. Fu-•• eby agree that the city official or designee may enter upon the property to perform needed inspections-
Signature
Contractor's License No. Date
Permit Valuation C` _ v[./ Park Support Fee # $
Permit Fee $ z-C-. 01_2 SAC # $
Plan Check Fee $ I Co' Water Meter Size 5/8"; 1"; $
State Surcharge $ S"j) 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 $ 4-/7
�i i
This Application Becomes Your Building Permit When Approved Paid 7 � /J Re' ipt No.
6:2
I Date 5: Z' ((e '7
c�� /5 21 ?1(0
Building Official 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
n 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
,sued
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372