HomeMy WebLinkAboutBUILDING PERMIT 16-439 CITY LADATE
INSPECTION
OFPRIOR NOTICEKE TIME
SCHEDULED I -26 (I-
ADDRESS
•
OWNER
CONTR.
PHONE NO.
PERMIT NO. _�6, Li 3 c,
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION ❑ CA FILLING
❑ FRAMING 0 MECH RI ❑ COMPOMPLAINT
❑ INSULATION 0 WATER HOOKUP
0 SEWER HOOKUP 0 FIREPLACE I
FAL ❑ FIREPLACE FNAL
❑ FINAL 0 PLUMBING FIN
❑ SITE INSPECTION ❑ ASLINE AIR TST
❑ MECH FINAL
�
COMMENTS: �<-----7
, ,
d
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
_____C2a2,______
Inspector:
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
mSNOTI
eANR/o.peCITY OFUTILITY PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /fin
U
11 ,,"/- , . ‘sY'
AND CONNECTION PERMIT
kNEso
I.white File PERMIT NO. /6_123
2. Pink City
lease 3.Yellow Applicant
type or print and sign at bottom)
le
ADDRESS ZONING(office use)
ILf 2- 11a.sC� Ct,V.) S
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Ill lie Ka m ry 11 or�
(� I (Phone) � ' � 6V ���''
(Address) I U641-2- ftc c u, aVQ .c-F;
BUILDER ( Q f n (/j r% ( l�rn
(Company Name) Jv 11/tJl/ M (Phone) Le 12i��3� ` tY
(Contact Name) ��
�"�v�� ( (Phone) 10-2 g I G 2-24PZ(Y
(AddilLD 0 EX Cil $1 Dr , Y Vi�f� Sri \ iL LS ,/C l - MN vl V V I f Q
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing XRe-Sidin g
DL
ower Level Finish
inish ❑Fireplace
CODE: I.R.C. ❑❑IA.Bd.dCiti.on DAlteration DUtility Connection
rIrw q VVAtioU
2 A0o i4
Type
of Construction: I II III IV V A Bf r'
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ I VJ j 11-0 V
ivision: 1 2 3 4 5 (excluding land)
I hereby-- 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- en . rope and . 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
offici i ca.r his p- it f. .t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .� 11►� , — &ILOO 1 D 17JD 151Ci l ) LP
.el;
V 1:n., r: Contractor's License No. Date
Permit Valuation Park Support Fee # $
-5�.� pp
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ / Pressure Reducer $
Penalty $ G 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 $ /6�/_
This Application Becomes Your Building Permit When Approved Paid tI vta `5 ��,�j
/' Recei No.
Date 5 6/,((, 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
en 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