HomeMy WebLinkAboutBUILDING PERMIT 16-969 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 44*
ADDRESS / 85 (1/71/- P
OWNER CONTR. �
PHONE NO. PERMIT NO. 16j /
❑ 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
\ce
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
C} ,
&FIK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK,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!
INSNOTI
sciPR7O
.�//IN\� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti;
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�,' , y1x
"` `ri AND UTILITY CONNECTION PERMIT
INNESO�
1. White File
2. P /.6 PERMIT NO. GJ
Pink City / U /
3. Yellow Applicant D%
e type or print and sign at bottom)
fill)
RESS
f (_ Q 6s- 1 ) yo I_ vJ phA i v./ ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER S n L
(Name) T) K—(G —O L 94-r1 D,d S 9_,44-4.LSC s ( � (Phone) (211- 7 0 2 - 2- J 3
(Address) 2 c)q. a a j '3'r' sr jM mild(el-e0 us if 01 N 3°‘S.'‘4 O 7
BUILDER �pn
(Company Name) S i- f I s 1S VS- (Phone) (o)1- 7 01, - 7 z-Y3
(Contact Name) S&CNA Icy (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch %Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration ❑Utility Conner n
CODE: ❑I.R.C. ❑LB.C.
❑Misc:
T pe of Construction: I II III IV V AB
iiillpanty Group: ABE F HI MR SUPROJECT COST/VALUE $
ion: 1 2 3 4 5 (excluding land)
I hereby - ; that I have is -d 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- ed roperty.". at. cons.. on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official.: / o his pe or jus a
-. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X I IBC 32) 568 $ - is !c
1 Signature Contractor's License No. Date
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 Building Permit When Approved Paid 16-1 o', Recei o. 7/Z-*"
Date g;?.i, lb By
/0577
Building Official Date
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
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
!//1
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372