HomeMy WebLinkAboutBUILDING PERMIT 16-879 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED 460,_
ADDRESS3
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OWNER
CONTR.
PHONE NO.
PERMIT NO. !l0 ,
0 FOOTING
❑ FOUNDATION 0 PLUMBING RI
❑ FRAMING ° MECH RI ❑ GRAD/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT
EINAL ❑ SEWER HOOKUP ❑ FIREPLACE RI
❑ SITE INSPECTION 0 PLUMBING FINAL
0 FIREPLACE FINAL
0 MECH FINAL 0 GASLINE AIR TST
COMMENTS: ! 0
2 �
•
-, • il -Nit
it ,
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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,,�� '� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti ' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v
AND UTILITY CONNECTION PERMIT 64- 440
1 N$S0
L wink Cit2. Pink City PERMIT NO. 147 7/
3. Ydlaw Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
..14C) BTU\ 1 \ \U,'NI T' U1/40(1 , M ki 5`i)f2-- VJ
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PIr-b25 • (.5 • 00/14
(NaW R \VVI ,� ` WI �J (Phone)95 7 *1i LQ�� I
(Address)
(Company Name)tkUNOCI V"V r 1C 1 V 11(I U V I (Phone) J11—31t '— )Le
(Contact Name) M i (Phone)
(A ) 1 S \11 JY �, OS, Mt[ 55O I61
TYPE OF WORK ❑New Construction ODeck DPorch %Re-Roofng DRe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration ❑Utility Connectio
; DLR.C. QLB.C. ❑Mist
of Construction: I II III IV V AB iQ'
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 10 It U
Division 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 LLaws and will proceed in accordance with submitted plans. I am aware that the building
official revoke this permit for just causre.. Furthermore,I hereby agree that the city offitAal
((ora designee may enter upon the property to perform needed' •-•;, .
x � 11 Ute (12/1 Cr1 LD
Signature Contractor's License No. ( Date
Permit Valuation Park Support Fee # $
Permit Fee $ `()3j6° SAC # $
Plan Check Fee - $ Water Meter Size 5/8";I"; $
State Surcharge $ / 00 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 $ 01--P3This Application Btu Your �7
Building Permit When Approved Paid i �' Receipt r ,y /
Date B A
140
t
Building Official Date
This 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Dl......;...r ..,.t,.. tlatp Snecial Conditions,if any