HomeMy WebLinkAboutBUILDING PERMIT 16-1127 T TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Ia -----
r a S
ADDRESS _ -
CONTR.
OWNER + 14I I Z
PERMIT NO.
PHONE NO.
0 PLUMBING RI ❑ �GRADIFILLING
p FOOTING 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOUNDATION 0 FIREPLACE RI
CE FINAL
dPLA
q INSULATION 0 SEWER HOOKUP 0 0 FIREIREPLA AIR TSL
FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION
❑ MECH FINAL
COMMENTS: dr' ,0
VIE
k All
VW*IM I I 1 ' I
SA WORK SATISFACTORY,PROCEED
p CORREC CTION AND PROCEED
p CORRE4 ORK,CALL FOR REINSPECTION BEFORE COVERING
''1 Owner/Contr.
Inspector. ,
CALL 4471=850 FOR THE NEXT INSPECTION 24 HOURS IN &SAFES!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
TH'ration .
OF PRlp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Cj Z 6 . l
x AND UTILITY CONNECTION PERMIT
ti
i. white Fife pERMIT NO• �� //C�
• ESO
�� I. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS V"' S��� ((\ C . W
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION nn
OWNER ^ [�(}� �� ,� (Phone)"I�a " 4C__2____-)—f-18---5rtU I
(Name) sk
of► 7 N .4=n -�-�`� ' �C ,
'IA /� Yom, M N 9537
(Address) �j 2 �� ��t��G zee Tr. S 1(V �� )(V r L 1�i
BUILDERIP .(� �S (Phone)
(Company Name) k a s (Phone)(Contact Name) �hbyo�
D loci Y �y q
(Address) I 007,e - ThIGtr‘ Q.YS C4- NE ':',,',S>t:! i) -/s--c, .Gt !Y►.Q , NAS
TYPE OF WORK 0 New Construction ODeck ❑PorchRe-Roofing ❑Re-Siding OLower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
4;1
0 Misc. �
CODE: I.R.C. ❑I.B.C. j 1p
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
ct. I also certify
hat I
the
er
I ove- certify d property
ro have nd thatdall construction w will onformis on to alle siting state and loich is to the best of cal laws and will proceed y knowledge true and in accordance withsubmitted plansn I am aware ized agent for the
athat the building
official
p os to perform needed inspections.
official can revoke this permit for just cause. Furthermore,I hereby agree that the city office designee..!may enter upon the property
X / L I L Date
�'ignature
I
Contractor's License No.
!MeterSiZe5/81 ! $
upport Fee $
Permit Valuation
Permit Fee $
re Reducer>�,HgTI3'STD — $
Dpt'i►D� �m /Water Connection FeraTower Fee $
Plumbi
r's DepositMechanr..ar rermit Fee $Sewer&Water Permit Fee $
Gas Fireplace Permit Fee $
TOTAL DUE $ /01- U 0
t ,.
This Application Becomes Your Building Permit When Approved Paid L B`� / Rec 'e•t t
No. d
Date c
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.
Planning Director
0
Date Special Conditions,if any
•
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
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