HomeMy WebLinkAboutBUILDING PERMIT 16-1225 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED ( 2/ 7 /i
ADDRESS 33 3 5 O2
z.
OWNER CONTR.
PHONE NO. PERMIT NO. / 4 -
❑ 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
FS FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: lapid--I- (I) ;we441
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• WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W 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
fIc
Pio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. white File PERMIT NO.
NN$5� e
2. Pink City /6, /2
i Yellow Applicant
ase type or print and sign at bottom)
DRESS 1 ZONING(office use)
—7°333 OCU , S(, -
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION ND
OWNER ---
(Name) 1'1 t S-e. S c-k w-e ins k XCJ (Phone) 95P J "I V 0 -1-3(00
(Address) .1.—
BUILDER BUILDER
(Company Name)?Ntr v .L C \ ' Pvhdf•(5-e tU (Phone) (.05i -aIgLI-L/0 ZE
(Contact Name) (Phone)
(Address) 1920 CD•'fid. "C," W.€5* ,)hoSe L,-;tl-e. 1 v'c r SS 11"3
TYPE OF WORK 0 New Construction ❑Deck ❑Porch 0Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Firepl4ce
►g
❑Addition ❑Alteration ❑utility Connection „/� l I _ _, W J) 4/Y4
`S(� �o.
0 Misc. J
CODE: ❑LR.C. ❑LB.C. —,/c���Q' J� �
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ OC O`�
evcupancy Group: A B E F II I M R S U (excluding land)
ision: I 2 3 4 5
I hereby c• i 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-me timed property and that. nstruction 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 evoke this permit for I • . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform cd inspects ns.
Signature
Contractor's License No. Date
Permit Valuation I Park Support Fee # $
Permit Fee I $ SAC # 1 $
Plan Check Fee I $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ ' Sewer/Water Connection Fee # $ 1
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 tt`( ' t 1 Receip No.
Date 10 'I,,0 . 1V ! BY
Building Official Date
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. Thus documento
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Ceititicate of Occupancy must be
l
iPlanning Director Date Special Conditions,if any
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