HomeMy WebLinkAboutBUILDING PERMIT 16-1331 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 12.` ictif
ADDRESS 4 `,118 &TCt.,Z VL GO
OWNER CONTR.
PHONE NO. PERMIT NO. /6 —» / 3 (
❑ 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 ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH
FINAL ❑
COMMENTS: (ajtG:4.1'►, ri WC' 1Q'"' '
i
C0 _ O / (
�j WORK SATISFACTORY,PROCEED
✓❑`CORR ACTION AND PROCEED
❑ COR1;7 )
C ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
INSNOTI
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.
t. White R ( 33 Pink File City
PERMIT NO. l 3 j
3. Yellow Applicant
lip type or print and sign at bottom)
RESS ZONING(office use)
LI iLI FS eir61ir1( CK-CS.D NG '579;11—
LEGAL
579;1 —LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Carol -r -k- Nitc,1C>ler rYhr'vC i (Phone) r 1-11--l1 %2-
(Address) ..- 4n-v.0
Z(Address) n- .0
BUILDER
(Company Name) Moak) Vv r rl[tas,JS -sce r- AYY1 Cat (Phone) Lost- 2.0.7 - c 4-Iq
(Contact Name) cz*Noir-vAcieceS (Phone) Sum.¢
(Address) 21.2, Old tkhl.ic.l s1 i mei j... "�j><t�1r1�1 NAA ,--.17:412.TYPE OF WORK 0 New Construction J ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DLR.C. DLB.C. 0 Misc: ire\c tc t c r� 7, j d>,;trN,c�>S
Type of Construction: I II III IV V AB
cupancy Group: A B E F H I MR SU PROJECT COST/VALUE $ q t l.QC'O
lion: 1 2 3 4 5 (excluding land)
ereby 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 revoke th' t for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. (]j(Zf-1FSZigy Date ,cj? ,3®,
Permit Valuation Park Support Fee # $ ttio
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 `� -V� Recea..._No. ('U/
Date 1 - ( t? . L By .'
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
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
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372