HomeMy WebLinkAboutBUILDING PERMIT 16-1262 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED i / $ —
ADDRESS
OWNERCONTR. /
PHONE NO. /
PERMIT NO. 6 • /)- C^ `2–
0 PLUMBING RI 0 EX!GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL } ' j
COMMENTS:
pYORK SATISFACTORY,PROCEED
//❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
____&14).4.----_
Inspector:
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
��pRlo� CITY OF PRIOR LAKE BUILDING PERMIT Date
Recd
;•,.../1 7- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f
AND UTILITY CONNECTION PERMIT �� Z7 ��
l`VATES0
I. White File
2. Pink City PERMIT NO. / &_ /ZG 2--
3. Yellow Applicant
se type or print and sign at bottom)
RESS
ZONING(office use)
6Yr , '4vv-e sem-.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name �j `
)Rr`Ud : X ' 4_, o94.44€"-1 (Phone) .j,�' 56 3 T
(Address) 5/fr..e.-------
J BUILDER
(Company Name) .1. i/ / (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ❑Porche-Roofing
❑Addi � Rfig ❑Re-Siding ['Lower Level Finish 0 Fireplace
DAlteration ❑Utility Connection
CODE: I.R.C. ❑I.B.Cit.on
❑Misc:
Type of Construction: I II III IV V A B 6..f"panty Group: ABE F HI MR SUPROJECT COST/VALUE $ CIOC"
ion: 1 2 3 4 5 (excluding land)
ereby. that I..ve ., i ed 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-. .n-+ pr..e an. f at 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
offici. re , e,i;i. .:.,�, . - .Furthermore;I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
xto/ I. t„ llf--.0. --/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 $ /00(/ .
oa
T. s Ap.l' . ,n Be.I mes Your Building Permit When Approved Paid Io (1--e) iz; eipt No. 72-.S6
/i
-wimp-wimpDate 0• L,7/4 I ;
`,
7 Buildi ,f Official at /b' /
"0 to certify that the request m 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