HomeMy WebLinkAboutBUILDING PERMIT 16-880 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /O/3 (Cp
ADDRESS t o 11. C.1C(4) al& c'* .
OWNER CONTR.
PHONE NO. PERMIT NO. /6 — W
❑ 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 0 MECH FINAL 0
COMMENTS:Velnk
i\ hp_,d?_ `'Lr,
- 4 WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
❑ COR- rVORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
..6 \p-1.o0
Date ReC'd
CITY OF PRIOR LAKE BUILDING PERNIIT>
o�AN,, CERTIFICATE OF ZONING COMPLIANCE
ST LIANCE e _ (4, «
TEMPORARYDUTILITY CONNECTION PE
4 .n. 1 � Fite
PERMIT NO 0 - 0O+)..�
0�' 2. Pink City
N$S 3.Yellow APPlkalll
ZO/,NICNGnc��'ue>
Of print and alga at Wenn) 9V✓ADDRESS r ,(` , WL''' MV \11 ` ,
DESCRIPTIONAM i
(office use only) PID�` <913(.9- 6! I
LEGAL
LOT BLOCK ADDITION e
(Phone) "l 0
OWNER � �
(Name)
(Address) ,ten{� c—Cl— — 1
�(� J� ` \J ��1 � (Phone) �� (� -- ►���
BUILDER ‘•
, (Forme
(Company Name) rr
(Contact Name) .\ \ ' %1, � V
(Address) �� [jgeSiding []Lowe Level Fmtsh ❑Fireplace
onstruction DDeck [,porch A Re Roofing
TYPE OF'WORKDNewi�n CIAlteration CUtr'Stt9 Connection
❑Misc:
• I.R.C. EILB.C. IV V A B PROJECT COST/VALUE $�� ��\
of�o tion: B E I fl I M B. S U (excluding Division Csrotap: A 1 2 3 4 5 cow I aao eerbfy that I am the owner authorized agent for the
I am aware that the buitdaag
Division: u m the beg of my lmow> m actor a wnh suU am the ed neer or i°�.
which aws and will pr m peen
Ia .�tnenno here*certify tib loons'hed information on this applicatio' n ting or a deseC�y eater upon the proP�7' ,�A11
and that all construction will conform all
t2 _
o `revoke" �, I�� Contractor's License No.
-permit for just cause. Furdiermcce,I hereby agree that the city official
Date
x �`,���' Signature #
Park Support Fee '
UIIIIIIIIIIII
Permit Valuation IIIIIIIIII � '
Permit Fee
1�'.•— Water Metra Size 5/8";1"; -
Plan Check F� III
a• Pressure Reducer IIIIIIIIIII#
UIIIIIIIIIIIIIIII Sewer/Water Connection Fee
State Surcharge #
111111111111111
Penalty Water Tower Fee
UMIIIIIIIIIII
Plumbing Permit FeeUIIIIIIIIIIIIII Builder's Deposit �.
WIIIIIIIIIIII
Mechanical Permit Fee 111111111111111111111 Other � �
Sewer&Water Permit FeeUIIIIIIIIIIIIIII TOTAL-DUB
a!
111
Fee � Recei�t No. Wing Gas Fireplace PermitPaid
�. /�A B -�'La
lids Application Beate Your B Penult—When ApprovedDate ��
Date requested. document
Buildin Officiala,ents is in accordance with the City Zoning Order and may C+ of Occupancy tieatuut and ax a of Z ni and meows m comm • Before off'
this is m certify that the request m� CeRificaoe of ZoniaB co��IIce
when signed by site r-nY P�n� Snecanl Cnnd+tirms if anyissocd. P
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