HomeMy WebLinkAboutBUILDING PERMIT 16-1047 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ) (.pc
ADDRESS I L6-1.v Su r �v�
V
OWNER CONTR. /
PHONE NO. PERMIT NO. /G -- /0 "7
❑ 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
jINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 1-c,4
01 Cl"- RAc
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
❑ CORREC 0 K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: / i Owner/Contr:
CALA-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of nub CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,4 ,..
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //
PePi q.
AND UTILITY CONNECTION PERMIT . ( r ( ( ,T
4oirEso4sIlk
I.while Fay PERMIT NO
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2. Pink Cit C
3 Yellow Applicant
ease type or print and sign at bottom)
ADDRESS 1
ILzo i ' �( n ZONING/e 4/ /
(office use)
yLi1re, R./
LEGAL DESCRIPTION(office use only) r G -
LOT `BLOCK✓ ADDITION Ur'-t/�,,,e,o/gge / G%� -3 --/ deti PID '357'340 D/„ -0
(Name R )(,L f 4 J U P1-fr--E (Phone) -I 52---14141--1 5 1 q
(Address) I 452,0 S ii ri.y 11Lfl.Q Pri c>r I U IL i m N 55312
BUILDER �41 Q-,' CD fltYCLC I fl ) (Phone) 11 3 2 ✓ 36W
(Company Name) bar)
, ^� (D-)(D5
,�,
oD
(Contact Name) .IX In I D) (Phone) (.D 1 2. 31 Q till CD5
(Address) IP i 5 G jam Qs Th1 . N O'I Se9a m 5533(2
TYPE OF WORK 0 New Construction ❑Deck ['Porch../.43 -Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition (Alteration (Utility Connection
411;ii
CODE: I.R.C. I.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE S I i,1.U_J lU
ccupancy Group: A B E F H I M R S U (excluding land)
ivisiou: 1 2 3 4 5
I hereby certify that 1 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- to ed property and that all constriction 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 this it must eau . urth. .re,I hereby agree that the city official or a designee may enter upon the property to perform need inspcct S.
X Yl ► Q0LigrIa. I -IX1-1�r
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 $ /v'3 ' 00 Pressure Reducer $
Penalty $ / c. U/) 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 $l9 LC ad
This Application Becomes Your Building Permit When Approved Paid 4, w Receipt No. D, i7q
Date /j47y/&, BY
Building Official Date !/
is 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
en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy.a Ce tificate of Occupancy must be
ucd.
• Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372