HomeMy WebLinkAboutBUILDING PERMIT 16-1439 6"..'7:
CITY OF PRIOR LAKE ATE TIME
INSPECTION NOTICE
SCHEDULED •Z �
ADDRESS 33 I 1�j ^c{C, , C
'
OWNER �
CONTR.
PHONE NO. PERMIT NO. _� (+.� •3 c`
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION ❑ CA FILLING
❑ FRAMING 0 MECH RI ❑ COMPOMPLAINT
❑ INSULATION 0 WATER HOOKUP
0 SEWER HOOKUP 0 FIREPLACE I
F❑ FIREPLACE FNAL
�
INAL 0 PLUMBING FINAL❑ SITE INSPECTION0 GASLINE AIR TST
❑ MECH FINAL 0
COMMENTS: Aco
•
4Q WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH do SAFETY!
INSNOTI
F PRlp CITY Oq 4
1111, F PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� ��
�" �r '� AND UTILITY CONNECTION PERMIT
•
4,4NESoit* I White File PERMIT NO.�� l¢
2. Pink City
3 Yellow Applicant
3/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
`( 33t �t,(5r cae,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) TIP- VIA FeS k.--44 (Phone) 9�a�'--d a I"'dd'f
(Address) ,3 1, c,„,,,,,-,-,,J2., 5-4--,..... .e. Pi L CIL( 1 /V O J-1?
e
BUILDER f r
(Company Name) LA N- :w;.,,:_. / .3 _ - —1---H-
#--" - (Phone) 7-5-j-- ? 41 6 6 4 GI
(Contact Name) "13 T -�•' t 5�� pp , (Phone) q-5-04'- 9 04 'CtWJf
(Address) / ;t CC,5 i /'A V/ _u3 jct./ t "4,fly SS 1?
TYPE OF WORK ❑New Construction ❑beck ❑Porch ORe-Roofing ❑Re-Siding DLower Level Finish411i,
El Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 9 Misc. re 41 on
1 ci.e6
Type of Construction: I II III IV V AB PROJECT COST/VALUE $s5 5 & o QO
Occupancy Group: A B E F H 1 M R S U (excluding land) j
Division: 1 2 3 4 5
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 prop rry and that all const . .•• will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can • ,,,E'f •• . r s cause. • (the ore,1 hrOy agree that the city official or a designee may enter upon the property to preform needed inspec ons.
XI - to ......
Signature Contractor's License No. Da
Permit V.luation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 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 $
This Application Becomes Your Building Permit When Approved Paid %C;) ( 7/2 Rec;i N-
. ' C _
Date i Z., '2„c).. t° B / _
1
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. Tins document
iii!1,,,,
then signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consuuction to commence. Before occupancy,a Certificate of Occupancy must be
slued
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372