HomeMy WebLinkAboutBUILDING PERMIT 16-1257 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l 7-16((4
ADDRESS 1417(3 ' r c9 e Sc —
OWNER CONTR. 7
PHONE NO. PERMIT NO. I(, — (2S /
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CO-I WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
:itiNRI°
,s �r CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
, , 'E TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I0, ; ((a
., AND UTILITY CONNECTION PERMIT
jNNEso \b- t 'S5\ '\n'
I.white Cit PERMIT NO.
3. Peek City t 10 ®+ la
3.Yellow Applicant W CCC///111
lease type orprint and sign at bottom)
ADDRESS ZONING(office use)
1A-1-63 1366w, ‘/1/46,y, i,-\ NE 4
LEGAL DESCRIPTION(office use only)
n
LOT 'BLOCK O` ADDITION 'moia eCef r PID QB. f'O "
0
OWNER
(Name) SAcA.,A42% SW,..w i Moat (Phone) L0L---+23-152A
(Address) \41/4-1-6'5 x-,tje. c2,`,6c -Tr\ Nit. Prior L0\4,�M Nr 5s5-1-1...
BUILDER ,`
(Company Name) VonAow U)or\c (Phone) (051-3 o3-30C
(Contact Name) CAvasem. (Phone)
(Address)221\ 11" (fit t.S{e #13c, IV S.co11 M 551(,9
TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
ili
CODE:.DI.R.C. I.B.C. 'Mist: Vv._ k \w c 40-...60,,s to Xt.
QS�tv') or "v\-ciJ
of Construction: I II UT IV V AB
cupancy Group: A B E F HI MR SU PROJECT COST/VALUE $ 2,e�Z
'vision: 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 revoke 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 1-23C-356%i 10rzo� e
SS' Contractor's License No. ate
Permit ValuationPark Support Fee # $
Permit Fee $ /03 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 DO Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
170
Gas Fireplace Permit Fee $ TOTAL DUE $ (0 y.
This Application Becomes Your Building Permit When ApprovedPaid z/ i/00
U'l Receipt No. -7
Date CO. 2-C(0 By `
Building Official Date
Ilis 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
n 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,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372