HomeMy WebLinkAboutBUILDING PERMIT 16-0933 DATE TIME
I
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED F m t -----
ADDRESS x )5 /in
OWNER CONTR.
PHONE NO.
PERMIT NO. 6G /33
❑ FOOTING
0 PLUMBING RI ❑ EX/GRAD/FILLING❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI❑ FIREPLACE FINAL
❑ NALATION 0 SLWER HOOKUP SLINE AIR TST
❑ FINAL. PLUMBING❑ FINAL ��}"'
FINAL
Ci...-
❑ SITE INSPECTION 0 MECH (yt,i/60
COMMENTS: 4
Ile G- . _ � _,
WORK SATISFACTORY,PROCEED
}Of
CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
______.Ca9---_
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
U/1 ' 0 • •• Date Recd
F rR10 04,00•
CITY OF PRIOR LAKE BUILDING PERMIT,
0P TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
• rn AND UTILITY CONNECTION PERMIT
rn
I.whit Fire PERMIT NO. /6 5,33
y'ryNEsol' 2. Pink City
3 Yellow Applicant
•
(Please type or print and sign at bottom) A\I c •C-- • ZONING(office use)
ADDRESS
ftP(‘C\S
tVanc'llY1
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LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION •
S MA
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OWNER 1 Vl/J - 1 V �.,Q. ��i Y t-C.� (Phone) '1.V 1 1"I/ot /
(Name) �n
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(Address)\ 161 b W-1 (l ( Di) 3{-,
BUILDER l l.�11�.1fi�1) S' .N1- --C.------ (Phone) i� ''�._g1 1 i (J
(Company Name) t
}- 1 (Phone)U Q I?T _
(Contact Name) +` 1 G� 1 r le�`, '��") —ir
(Address) 1- UL.V�.ry• ,_St. • )( C-4, x) Q 1'e
TYPE OF WORK 0 New Construction DDeck DPorch DRe-Roofing DRe-Siding ['Lower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection r V\A-j` f ��/,(�
iii
Mise. W 1 �/V J �`J
CODE: ❑LR.C. �LB.C. /
Type of Construction: I II MTV V A B PROJECT COST/VALUE �, aOccupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
e and
ct. I also
rtify
hat I
the
r
zed agent for the
1 hereby
mentioned property
neshed information on at all construction will conform to all existing sis application which is to tate and lobest of cal laws and willy knowledge rproceed neaccordance`wi htubmittd plans.n Irarmta arerthat he building
P P r0
official can revoke, 's permit for. F just taus er ore,I hereby agree that the city official or a designee may enter upon the property to perform needed cti"ns.
� off(.L # 2)D-
Signa
D-
Signa re �'/'TI E
X � �-- Contractor's License No. Date
Permit Valuation
Park Support Fee # $
SAC # $
Permit Fee $ $
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 $ / U�Jl
Gas Fireplace Permit Fee $
TOTAL DUE $ I Qom`
U U Lo Rec pt No. kD 2 0 I
This Application Becomes Your Building Permit When Approved Paid ( /
Datecr 4-Cts '' 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
40
when 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
issued.
• Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372