HomeMy WebLinkAboutBUILDING PERMIT 16-1335 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED i . 12 /A-
r
ADDRESS 5 L, CO o
dc6 C/h\-2--
OWNER CONTR.
PHONE NO. PERMIT NO. 1 6._, .. ,S
❑ 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 ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 •SLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL L dpr
COMMENTS: 4
C...-51--:15--- (:_pr:)-k
(WORK SATISFACTORY,PROCEED
/❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING COOLA--
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
o: pRI�,P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
•�� ' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �l /
ti( ��
�' Ii AND UTILITY CONNECTION PERMIT
7NE50
'. White File PERMIT NO. /6 _433,5
2. Pink city
3. Yellow Applicant
type or print and sign at bottom)
ZONING(office use)
RESS
s'-":5-1241 �.4N D Y z‘04/ - -az_ S L-.--'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER (Phone)
(Name)
(Address)
BUILDER � �� (Phone) �� �- --.2-3(Company Name)��'i��L= /4�G/�,L�`/�1aE,14 (Phone) �' /�' �G 2_—
a es
(Contact Name) 75/44 'A/L '�- .
(Address) q‘.2.4'0 454, IL ii-73 5,/7/,,e14 /
TYPE OF WORK 0 New Construction ['Deck ['Porch 1.1.1'e-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace
❑Addition []Alteration ['Utility Conner •n
CODE: I.R.C. I.B.C. ❑Misc:
.13
e of Construction: I II III IV V A B PROJECT COST/VALUE $
ancy Group: ABE F HI MR S U (excluding land)
ion: 1 2 3 4 5
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 ndf that allconstruction willconform to allexisting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official canrevoke this it for just cause. F e re, er y agree that the city official ora designee may enter upon the propertyto perform needed inspection
,E3C637,02- / i
X Contractor's License No. Da
Signature
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 $
$ /0 [/� COGas Fireplace Permit Fee $ TOTAL DUE `
•
This Application Becomes Your Building Permit When Approved Paid /0` "u ( R ipt No.
Date ft- /(_ I
1!z-3
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
eCertificateasreques ted pais mut document
111
be
gnedd by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,
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