HomeMy WebLinkAboutBUILDING PERMIT 16-0635 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 1 Z 20 ----
INSPECTION NOTICE
ADDRESS L Ser r A •
OWNER CONTR.
PHONE NO. PERMIT NO. _ //V1—C
0 PLUMBING RI 0 EX/GRADIFILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
p INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST❑
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
GLIMIEMILA IC,
14 WORK SATISFACTORY,PROCEED
❑ CORRECT A •. AND PROCEED
❑ CORRE WO • ,L FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contra
CALL 447 • 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
INSNOTI
��PRION
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
triAND UTILITY CONNECTION PERMIT6rill),
C (
N `
NE
I. white File PERMIT NO.( 0037"
2. Pink City CJ ^ `W
3. Yellow Applicant
se type or print and sign at bottom)
RESS _ ZONING(office use)
iso roc 4 (+A&
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNER M*L (4 M b-)—kY4gQt4 / te-kac (Phone)
(Address)
BUILDER //'
(Company Name) c 1/1412 ,� £-f C9�SqL Li- C (Phone) q59 a /O 5-307—
(Contact Name) DA v (Phone)
(Address) 1 -r3 7''3 P.,....4.0,41.41-14-41 ts...—CA—✓'t c LI 1621.1
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing QRe-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc:
Type of Construction: I II III IV V A B
iilpancy Group: A B E F H I M R SU PROJECT COST/VALUE $
ion: 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 laws and will proceed in accordance with submitted plans. I am aware that the building
official can re �ke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 6Q C /0 ggSe Go-13-1
Signature Contractor's License No. Date
Permit ValuationPark Support Fee # $
Permit Fee $ I 0 3 t19 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ + ( Pressure Reducer $
Penalty $ I 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 $ /0
((...a)
CD
This Application Becomes Your Building Permit When Approved Paid (E)ct: Receipt No. 5 A 1
Date ce'r (.3 IC, By `- ---)41L4/1-
Building
-v
Building Official Date
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
4!
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372