HomeMy WebLinkAboutBUILDING PERMIT 16-970 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED `0 2 C
ADDRESS kat...„?..„„ d.4-
OWNER
CONTR.
PHONE NO. PERMIT NO. __6;2__ _f____ ___::) .
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 COMP
❑ FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE I
F
% INAL
0 PLUMBING FINAL ❑ FIREPLACE
FI
❑ SITE INSPECTION 0 GASLINE AIR TST
❑ MECH FINAL 0
COMMENTS: f, f o.;
•
A _• t
WORK SATISFACTORY,PROCEED
CORRECT •TION AND PROCEED
❑ CORR- T •- ,CALL FOR REINSPECTION BEFORE COVERING
Inspect. .
Owner/Contr.
CA 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT!
PRIO
A/�/1\ �\1� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
i�
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
(-)V1. �� AND UTILITY CONNECTION PERMIT 125, 10
�r`�'NES°�
1. White File PER
MIT NO.
2. Pink City ...eq-70
3. Yellow Applicant
type or print and sign at bottom)
111DRESS
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER `,,
(Name) , Y'1 \ bAR.,`NM b (Phone)
(Address)
BUILDER
(Company Name) NA vV c%r\ Vv Q,r.)F,< (Phone)- 7r! 3' ZS 0 -0 8 0 1-
(Contact
(Contact Name) 7.43,,C., V\,A�✓Z.Q_-\j (Phone)
(Address) C ( 'N
TYPE OF WORK 0 New Construction ODeck ❑Porch e-Roofing ORe-Siding❑Alteration g ['Lower Level Finish ❑Fireplace
['Utility Conne in
CODE: ❑I.R.C.Iii
❑I.B.C.
e of Construction: I II III IV V A B
pancy Group: ABE F HI MR S U❑Misc:
PROJECT COST/VALUE $
ion: 1 2 3 4 5 (excluding land)
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 property and 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
official can revoke this permit for just cause. Furthermore,I here. ee that the city official or a designee may enter upon the property to perform needed inspections.
X —llir (_4-i 9 '52�0 $/2s 1 o
_le- Signature 41111101Pr Contractor's License No.
Date
Permit r- . tion Park Support Fee # $
Permit Fee $ 1 J1 3(P SAC 1# $
Plan Check Fee $ �/ Water Meter Size 5/8"; I"; $
State Surcharge $ ( U 3 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 $ icyjo
This Application Becomes Your Building Permit When Approved pal D ! `00 Receipt No. &g:57
Dat /,7 /6, By 5 c ).„
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
gned 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 Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372