HomeMy WebLinkAboutBUILDING PERMIT 16-1086 DATE / TIME
CITY
INSPECTION OF PRIOR LAKENOTICE SCHEDULED /0 2 -
1
ADDRESS 19 ( . ��'�� ' I. —0"
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION
0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE FIREPLACE RINAL
I
❑ INSULATION 0 SEWER HOOKUP
a—FINAL 0 PLUMBING FINAL ❑❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: CCA
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT •RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner/Contra
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CALL•7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOT7
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KZgiPR% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7a 20. /1
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;�A`1r8S��r
I. white Fitt PERMIT NO. l ' l
pint: city
3 Yellow Appticam
(Please type or print and sign at bottom)
ADDRESS
(51(6 Woo) ettA c k rt r! N 1) ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT 3 'BLOCK 1 ADDITION C(,-a 34,6a ti PID is--33v 033.0
OWNER �(
(Name) ,7 `m N 11 I f 4 sJ
(Phone)
(Address) S;4444 L
BUILDER ----
(Company Name) a b , l ! (Phone) 6/e)• 76 0 • 0 q(e__ c
(Contact Name) 'C r ALL Li (Phone)
(Address) -1..0 -4...-5. 41 IV
( 3 G v c (,t AAA-
TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ______
❑Addition DAlteration g ['Re-Siding ['Lower Level Finish 0 Fireplace
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CODE: DLR.C. ❑LB.C. ['Utility Connection 0 Misc. CA 11] u 9)
ype of Construction: I II III IV V A B
ikt
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ivision; 1 2 3 4 5 (excluding land)
I hereby certify that 1 hav tr ished info tion on is 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 nd tint all friction ill co m to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this pe i t st ,e. Furth ore,I reby agree that the city official or a designee may enter u9P& Ymfonnneeded nspertams.
X 01, G
Signature Contractor's License No.
Date
Permit Valuation Park Support Fee ## $
Permit Fee $_703__ SAC # $
Plan Check Fee $ — Water Meter Size 5/8"; I"; $
State Surcharge ` Pressure Reducer $
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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 I $ TOTAL DUE $ I b/.- -06
This Application Becomes Your Building Permit When Approved /v / ` C.(/q l//
Paid Receipt No. 7
Date �^• /CCJ) By________5.73r,
Building Official Date �-1J
is 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
411!il
cn 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
ed
Planning Director Date
Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372