HomeMy WebLinkAboutBUILDING PERMIT 16-1252 DATE
CITY
INSPECTION OF PRIOR LAKENOTICE
SCHEDULED 111 al Co
r2c
ADDRESS 1 93 1 inx "Trt
OWNER CONTR.
PHONE NO. PERMIT NO. I(o — I a7-2.--
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
4 INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
-€{NAL 0 PLUMBING FINAL 0 GASLINE AIR TST
'0 SITE INSPECTION 0 MECH FINAL 0
COMMENTS: I ppol- k u. `` ,-,c(2.0)
1 , C 01,AVie±— ‘itoi1/45tC. ,i-- co ot---
Alk it•
OP c9s-e:44
❑ WORK SATISFACTORY,PROCEED
16 CORKTION
RKCA
ND PROCEED
O CORCALL FOR REINSPECTION BEFORE COVERING
" 0
Inspecto Air Owner/Contr:
r!
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
DATE Q../
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ( , 1`t i t
ADDRESS L4 2, 2, /`J K
OWNER CONTR.
PHONE NO. PERMIT NO. I t=> - 1 2 5'1..
❑ 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
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ' 1
COMMENTS: 1.---,.., 'T rj/ fn. P rflc>J
I
.CY WORK SATISFACTORY,PROCEED
ORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4:9Q/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.
INSNOTI
PRI6'"�x
CITY OFCERTIPRIORFICATE LAKE OF BUILDINGZONING PERMIT,
COMPLIANCE Date Recd
( TEMPORARY
AND UTILITY CONNECTION PERMIT to ` (1
'-/ -111411110Y
N E
I. white Pae
2. Pink City PERMIT NO. i(0 ---4c)._S 2,
3.Yellow Applicant
e type or print and sign at bottom)
)11
KESS 200_3 1:::r -cj,1 .IJ'W ZONING(office use)
1)(.11
LEGAL DESCRIPTION(office use only) � /l
LOT BLOCK ADDITION PID 9'3 F v(4 `'f. v k.)-'01
OWNER
X (Name) cob uA-s\flo Ck, (Phone)
(Address) - "--R- J
BUILDER
(Company Name) CretP De Sl S r�
t.a. Id (Phone)
(Contact Name) E r[ t4 (Phone) k/2-' 6 q 417
(Address) 2?23 ( Jw v-%' A 4 S. r p is S S4-0 e
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ❑Utility Connection ,f
CODE: ❑I.R.C. ❑LB.C, WMisc: j Vt✓laa .5
Type of Construction: I II III IV V A Bliom
$',
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ j�
ision: 1 2 3 4 5 (excluding land)
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 and that all construction will conform to all existing state and local laws and will proceed m accordance With submitted plans. I am aware that the building
official can revoke ermit for' /ca • . Furthermore,I hereby agree that the city official or a designee may enter upon the propertito perform needed inspections.
X z/e p;. BC 6b 1 is 3 8 /o/26 1&
Si: 'ire Contractor's License No,,, ate
Park
Permit Valuation Support Fee # $
Permit Fee $ 1 03°0 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ I 00 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 $ I®4 CD
This Application Becomes Your Building Permit When Approved Paid tO[-to( Receipt NO.
3,t tfr
Date , 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. This document
t 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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372