HomeMy WebLinkAboutBUILDING PERMIT 16-0982 DATE TIME
CITY LAKE
INSPECTIONOFPRIOR NOTICE SCHEDULED / 2/6/45..
ADDRESS /110 3Ti AUO C/
OWNER CONTR.
PHONE NO. PERMIT NO. /6 tyez'
❑ 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 0 FIREPLACE FINAL
l'FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: 0 itagxv
UGt-P., ') P'`-t- C(
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(-)--\
\(c-rt:744 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
- AND UTILITY CONNECTION PERMIT
•
4.,HNESoit. '. ni
2. Pink PERMIT NO.
k CCitty /� ��Z
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS�j� � I /, / � � Rd_
(00-I ZONING(office use)
`/l.l� /,(l/(f/�'r'Alt/ 6
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER I - V '�
(Name) ._,& lk.' � •
( V 1' ,(Pone) `-
(Address) NI00vv
(C'. IV
•aCGS •
(C�-mpany ny Name) /e - r 11116 (Phone) 5s-9- 2'7 '7-1(466
[" 1V
(Contact Name) r 0 • � • (Pho e) `
(Address) 1 L-.1:1 5" \ A Q-e l a \ u v1 V lJ` . )
TYPE OF WORK ❑New Construction ['Deck ['Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection W����
ii;
CODE: DI.R.C.
I.B.C.� 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE S 7S r at:9":
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have fumis.ed i,ormation on i 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 prope d iij a (construction ill 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 per i f. st•, e. ether, or=, he -b, :ree that t city official ora designee y ncu th ro t oriaeded inspections. j
X / Date '2 '
Signature ' Contractors License No.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
PIumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /`64< 1
This Application Becomes Your Building Permit When Approved Paid 76 . fipt No. 6 74"..
Date ST, 34,16
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
410 when 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
issued.
IPlanning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372