HomeMy WebLinkAboutBUILDING PERMIT 16-1048 DATE TIME
CITY OF PRIOR LAKE r
INSPECTION NOTICE SCHEDULED ►d L4,o
ADDRESS )L 3178 v....0\0,,,, 4
OWNER CONTR.
PHONE NO. PERMIT NO. 16 /Otte
❑ 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 ❑ ECH FINAL 0
COMMENTS: Q,¢ to
1
-Le,50 ,Atai
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRE' •/i K,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Ad Owner/Contra
CAL- -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
mSNOTI
cc rAro� CITY OF PRIOR LAKE
BUILDING PERMIT, Date Rec'd
A. TEMPORARY CERTIFICATE OF ZONING
PERMIT
�,j
Iv Iv AND UTILITY CONNECTION7
U I. Pink File PERMIT NO.1 I "r
. /4'
2. Pink City / •
;��NES��� 3 Yellow Applicant
• ease A, or , •nt and si:. at bottom
ZONING(office use)
ADDRESS , -
11431 R®blh 11,00-
LEGAL DESCRIPTION(office use only) pID �� � j ��
5 ADDITION U [' I► 1 Z 2 r �_,
LOT LOCKB �...) j
OWNER
(Name) d �l� (,l ..Ij (Phone) 1 fl I 7 " I —
•
(Address) NRobin PO�.ct PYWrLW hi 55312
� u
BUILDER ,
f C (Phone) 7 -, ' 2
/ r II
(Company Name) (Phone) i 2- � —
/ /
I I )
(Contact Name) �V� �� � �e o y"t a 5-,31o2
(Address) [0 1 5 q ,J1 r!
TYPE OF WORK ❑
New Construction ❑Deck ❑Porch ,,,e-Rooting ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
0 Misc. ��r ��
CODE: �I•R•C �I B C PROJECT COST/VALUE S Yl
ype of Construction: I H III IV V
A B E F HI MR SU (excluding land)
•ccupancy Group: l 2 3 4 5
s ivision:
to perform needed amlonc.
will application
to whicht existing the and focal knowledge and will proceed in t. I also
ewith that 1 a cd plans. I am aware thatethe t building
I hereby certify that t have f'umished information ontthis application is to the best of my true and correct. [also certify I am the owner or authorized agent for the
oafficial
canne•ned property and that all use. Furth
t rto that the city official or a desienee may enter u..n the property P 1 t s.
official is perm' fo just cause. FtI h '•re.I hereby agree , 1 ' + q {wn
. L.7h Date
X r, t ' .. _iiia_ Contractor's License No.
Signatu e
Park Support Fee #
111111
Permit ValuationIIIIIIIIIIIIIIIII �-,
IZMIIIIIINIIIIIIUINNIMIIIIII
gailiginli Pressure Reducer UINIIMIIIIIII
gati111111111111111
� �� Sewer/Water Connection Fee #UIIIIU111111111111111111Water Tower Fee #
Plumbing Permit FeeIIIIIIIII Builder's Deposit 111111111111111
Other ■
' TOTAL DUE FrD c 00
Gas Fireplace Permit Fee IIIIIIIIIIIIIII
.. IP Recei.t No.
Paid '
This Application Becomes Your Building Permit When Approved Date irW, ` do C B VP
Buildin°Official Date
as requested. This document
is is signed
certify Certificate of Zoning compliance and allows construction to commence. Before occupancy.a Certificate of Occupancy must be
that the request in the above application and accompanyingdocuments is in accordance with the City ZoningOrdinance andmay proceed
ento
signed by the City Planner constitutes a temporary
•ucd
--------------
Special Conditions,if any
Date
Planning Director
24 hour notice for all inspections(952)447-98-
4646 Dakota Street Prior Lake,MN 55372