HomeMy WebLinkAboutBUILDING PERMIT 16-1260 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 12 S -----
INSPECTION NOTICE
ADDRESS Lit 51 x CDO.o.(2- C4-
OWNER CONTR.
PHONE NO. PERMIT NO. l �_-__:,__L__—.1-
0 PLUMBING RI 0 EX/GRAD/FILLING
❑
p FOOTING 0 MECH-RI 0 COMPLAINT
FRAMINGFOUNDATION 0 WATER HOOKUP 0 FIREPLACE RI
p0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION 0 PLUMBING FINAL 0 GASLINE AIR TST
FITAL ❑
❑ SITE INSPECTION 0 MECH FINA/L,'� �� �Q
COMMENTS: j.,.,#Q l�/` ""� r
,..e)
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w . - 'izi'
___________
--76-WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR- ' •'K,CALL FOR REINSPECTION BEFORE COVERING
Inspect. Owner/Contra
CAL • -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
oi PR/04.r. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f
AND UTILITY CONNECTION PERMIT to
, 2,tQ`UX-'
4%,,,NEsolt. I. White File
z. ,'ink city PERMIT NO. `t it (� )
3 Yellow Applicant
.e type or print and sign at bottom)
RESS I ZONING(office use)
I(4151 C (wCOCA CA ) 2 I /)O/)
LEGAL DESCRIPTION(office use only) ,
LOT L BLOCK ADDITION � 6-CC/All'(-�X "-ft ` PID,DS ' 4` (-)-4.-5-:0
OWNER C, ( J
(Name) L6 t 1 U i�-Q (Phone) I S g-- `711 S ' D 57-/S
(Address) J
BUILDER GG
(Company Name)?tC.h-C WG $vJ 'Ah
s\ - d-e.(S-e ti �
(Phone) (051 -a �-4 C)�O
(Contact Name) (Phone)
(Address) 1`IZU D. 1�d. "C`' Ls e5 - -I h05-evi\l�1 r N SS 11,
TYPE OF WORK ❑New Construction
❑Deck ['Porch ❑Re-Roofing [Me-Siding :Mower Level Finish f1❑Fireplace 1
DAddition DAlteration ❑Utility Connection '14 ....,lQce q (gyp y ljw5 (t/,i-s �)CIb4-ii
CODE: ❑LR.C. ❑I.B.C. ^❑�iM�isc. v �� _..-- ------?__-.._..__
e of Construction: I II III IV V A B PROJECT COST/VALUE $ I�l X 3
panty Group: A B E F H I M R S U
(excluding land)
Sion: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge tate 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 ca r yoke this permit • us:cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X , * = — • a- -bc.ca9Sa3 - _ a 6r4-)0
Signature Contractor's License No. Date
Permit Valuation �, ) Park Support Fee # ( $
/
Permit Fee $ J �`- SAC # 1 $
Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
State Surcharge $ / ISD Pressure Reducer $ •
l
Penalty $ j Sewer/Water Connection Fee # $
IPlumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other 1 $ f
Gas Fireplace Permit Fee $ TOTAL DUE S N
l This Application Becomes Your Building Permit When Approved Paid ?t, Receipt No.
Date . ,., G�� I By 5j-YLI J
Building Official Date
s 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 i
ii
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
d
I
1 Planning Director Date Special Conditions,if any