HomeMy WebLinkAboutBUILDING PERMIT 16-1266 CITY OF PRIOR LAKE
INSPECTION NOTICE DATE TIME
SCHEDULED 12 21
ADDRESS k LIS'C I
OWNER
CONTR.
PHONE NO.
PERMIT NO. /� /
❑ FOOTING
❑ FONDATION 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FRAMING
0 MECH RI
❑ INSULATION 0 WATER HOOKUP 0 COMPLAINT
I
❑ FINAL ❑ SEWER HOOKUP ❑ FIREPLACE FRI
❑ PLUMBING FINAL ❑ FIREPLACE FNAL
0 GASLINE AIR TST
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS:
✓, 'WORK SATISFACTORY, PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.,
INSNOT!
e''' PRIMP CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE to, 3 ( /6
"' `� AND UTILITY CONNECTION PERMIT
N E
�' -5(C
1.white File PERMIT NO.
2. Pink City ke., /Z
3. Yellow Applicant
e type or print and sign at bottom)
RESS ZONING(office use)
11 V I jilt)Cs iiLick-bc)cv i:4-- 4@e"
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) T:3,,E7AJ f )44b.1.-it-A.71 _____ (Phone)
(Address)
Co BUILDER -�' L-4- I 41 Q I� I
(Company Name) —r- I' -
4 go
(Contact Name) [ ! ` '- L.L.L.1- /A..1 <j (Phone) .1
(Address) J 6p(o / 4. a, hf,A/41-- e�- °fit-aza„,_ �a J
TYPE OF WORK 0 New Construction Q eck ['Porche-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
['Addition ❑Alteratiofl ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc:
Tiof Construction: I II III IV V A B •
iiispanty Group: A B E F H I M R S U PROJECT COST/VALUE $
ion: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished informa'.n on this.,plication 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 co.,. ion ' .rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revo this permit for just ca e. F . - ... .-reby agree that the city official or a designee may enter upon the property to perform needed inspectio,S.
x - � .,6 . 62f3D 9zo_ 0
.�.— % Contractor's License No. Date
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 # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /d(K. ( .--'
This Application Becomes Your Building Permit When Approved Paid lac,- (to eipt No. 7L-*-'
Date (O., 3 ( 1(0
Building Official Date
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
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372