HomeMy WebLinkAboutBUILDING PERMIT 16-1106 DATE TIME
CITY OF PRIOR LAKE SCHEDULED ..`Q -----
INSPECTION NOTICE
ADDRESS
OWNER CONTR.
PERMIT NO.
PHONE NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
FRAMING 0 WATER HOOKUP
❑ FOUNDATION 0 FIREPLACE RI
❑ ❑ FIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0 PLA AIR TSL
❑ FINAL 0 PLUMBING FINAL
❑ SITE INSPECTION 0 MECH FINAL •
RI"
V-6` '
COMMENTS:
/6 WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PR 76;tx CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
( TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"� _---. iAND UTILITY CONNECTION PERMIT q-2-4 ' `e
�rrNNESoi
1. white File
2. Pink City 1�PERMIT NO. /6,
/ /t/
v 1/O
3.Yellow Applicant
e type or print and sign at bottom)
RESS ZONING(office use)
qo. �m�,i- . V <:
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER -i'� 'T1//J t�yJ ,,''
(Name) ..£r1 j/f/Li ce-4 e t S'd--ri (Phone)
` Si(Address) /.‘0.t-ii' l -��.1,r : -S i
BUILDER �r�� ,�
(Company Namer...".41---- �rl4 ?-< < - (Phone)
(Contact Name) _ ; - _ ///2._ s ,el....--- (Phone) `l .--,9/-- - c-/-
(Address)
(Address) .10--ZecE'4- l'd,, "‘‘'f f,,aio.' . -9,.Z-.a ‘
TYPE OF WORK El New Construction ❑Deck ❑Porch .. Roofing ['Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 0 Misc:
T pe of Construction: I II III IV V AB
pancy Group: ABE F HI MR SU PROJECT COST/VALUE $
ion: 1 2 3 4 5 (excluding land)
I hereby certify th. ave 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-ment• -. pr..erty and that all c.- . will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official revoke.is.,, it for ju � ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X >�r! - Cel.776'�/� .��l
Signature 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 $
et‘".-
This Application Becomes Your Building Permit When Approved Paid /0 `(_G 0 0 Recei No.
Date 9 z,(o ,,/(v By
lea.
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
1111,
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