HomeMy WebLinkAboutBUILDING PERMIT 16-1098 DATE TIME
CITY OF PRIOR LAKE Ve,
INSPECTION NOTICE SCHEDULED t \ a
ADDRESS "1 �c\5 1^''- D '
OWNER CONTR.
PHONE NO. PERMIT NO. \(, + \ o c\ci')
❑ 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 �❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL RC
COMMENTS:
A'WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH&SAFETY!
IMSNOTI
F PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4 kF 94.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
.. t�
el 4'4,,..011" ' "n°` F11e
z Pink c // - V PERMIT NO. //'' gC/f3
(O
Yellow ,pp0cam
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
H 19 5 Co10 ,040 5+-- SE P(i or Lk e
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER i .i
(Name) W I ll t 0(in/1 V Q 4Bia.,11 k (Phone)
(Address) q„,i e u5 419(Oil
BUILDERI
(Company Name) SD f h /4e f-ro +'(01vre5 L .1 c.. (Phone) (S)102 - `(1 D — ' 9 3 2
(Contact Name) C+,r f L r‘,.h- r_4 f (Phone)
(Address) a t,11 S eo.,n a rt o- el v e. 1N L b c -er 1M N S y 0 1
TYPE OF WORK 0 New Construction 0 Deck ❑Porch1614e-Roofing ❑Re-Siding 0 Lower Level Finish 0 Fireplace
❑Addit. ion [Alteration DUulity Connection
iliCODE: ❑LR.C. DLBC. D Misc.
Type of Construction: 1 II ITI IV V A B PROJECT COST/VALUE $ 5, 5 o
ccupancy Group: A B E F H 1 M R S U
ivision: 1 2 3 4 5 (excluding land)
I hereby certify that I have burnished tnfurmauon on this application which is to the best of my knowledge true and collect. 1 also cttufy that I am the owner al authorized agent for the
above•mentioned property and that 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
official can r oke this permit or just ,sr Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
a f r 3C 5 ' ,67 cib 112/
1 (0
(- Signature Contractor's License No. Date
Permit Valuation Park Support Fee # S
Permit Fee S SAC # $
Plan Check Fee $ ___ Water Meter Size 5/8"; 1"; $
State Surcharge $ —Pressure Reducer S
Penalty $ Sewer/Water Connection Fee # S
_
Plumbing Permit Fee S Water Tower Fee # $
Mechanical Permit Fee S Builder's Deposit $
.
Sewer&Water Permit Fee S Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
,3
This Application Becomes Your Building Permit When Approved Paid 0 7019 Re, ipt No. (0,q7s
Date (a BA _
Building Official Date
Thus 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 document
hen signed by the City Planner constitutes a temporary Cesitheate of Zoning compliance and allows construction to commence Before occupancy,a Certificate of Occupancy must be
tied
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372