HomeMy WebLinkAboutBUILDING PERMIT 16-899 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 9-V5
ADDRESS c3 ! 6,e-• a^ Q
OWNER CONTR. ✓`'"�
PHONE NO. PERMIT NO. J , - 93Q.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ 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
COMMENTS:
C�
/WORK 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!
INSNOfl
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F PRiCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4',1,XESolt• 1. White File
2. Pink City PERMIT NO. /6 0 99
41k
3 Yellow Applicant
ease type or print and sign at bottom)
DRESS ZONING(office use)
5<33 Trn Y 'TcoL:, 1 32
LEGAL DESCRIPTION(office use only) •
LOT BLOCK ADDITION PID ,
OaWNER 7We, VI � tk.4 (Phone) /60' 11113 iFYe'
./\.
(Address) ''
BUILDER N S t 0 CC33
(Company Name)?1ty - cam\ ` 'A .e.C�e.c--- (Phone) (Ds i - o�lei-L!0 80
(Contact Name) (Phone)
(Address) 112 0 CD•fid, "G`' (....)4 - -,-7 0,�e.u.;11-e 1 'MN.) 5 5 11-2
TYPE OF WORK 0 New Construction ❑Deck OPorch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 FireplacR ,.^ .,
❑Addition ❑Alteration ❑Utility Connection an I acit. i d c5 (�f t / N--)CODE: 0111.C. ❑LB.C. ❑Misc. t j /AO� ��
4110v
Type of Construction: I II IIIIV V A B
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ision: 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-men oned property and th. all =traction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c.1 revoke this permit for st c se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
--ttclaRS234-
1 attire Contractor's License No. ate
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
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 $ I TOTAL DUE l $
This Application Becomes Your Building Permit When Approved Paid /6((.•d vRec t/•t No. �o5Y'[7
Date e,_( ( ,1(� � By
i Building Official Date i '
s into certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ori
dinance and may proceed ac requested. This document
signed byf the City Planner constitutes a,temporary Certificate of Zoning compliance and allows constriction to commence. Before occupancy,a Certificate of Occupancy must be
1 Planning Director Date Special Conditions,if any