HomeMy WebLinkAboutBUILDING PERMIT 16-1323 DATE TIME
CITY
INSPECTION OF PRIOR LAKENOTICE SCHEDULED
\ \_\.‘11AILL)
ADDRESS
CONTR.
OWNER ,
PERMIT NO.
PHONE NO. ❑ GRADIFILLING
0 PLUMBING RI ❑ COMPLAINT
0 FOUNDATIONFOOTING 0 MECH RI 0 FIREPLACE
❑ A 0 WATER HOOKUP 0 RIIVAL
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACEREPAIR TSL
❑ INSULATION 0 PLUMBING FINAL
p FINALT0 MECH FINAL n
❑ SITE INSPECTION � •.
COMMENTS:
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!
,NSNOTI
O.-PRIo.4
.� 11 \� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
Pc
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /,, 9 / (>
VIIIIkli
NNE S°
U'
AND UTILITY CONNECTION PERMIT
1. white File PERMIT NO./6 ,.73 p 3
2. Pink City
3. Yellow Applicant
pe or print and sign at bottom)
-.413 L ZONING(office use)
Amy 7.116-
111% . britib-fr-t- 4.-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER'.1 /; �� ss� � � � C 'J
(Name) 111' % X t`tet \ ���l..A44.`� , (Phone) J(4"�1 kS`'Lt 4 \
3
(Address) 1-1S %- C
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Conne tion
CODE: ❑I.R.C. ❑I.B.C.
❑Misc:
T e of Construction:
TI II III IV V AB
ancy Group: ABE F HI MR SU PROJECT COST/VALUE $
ion: 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-m.: ..ned property an. 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
official oke this pe. i .,just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed plans..
00fons.'
� Ili
go 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 $ [04 ‘)' )
This Application Becomes Your Building Permit When Approved Paid ( 4) C/67
Rece' t No. 7
Date 1L- ci'.`(p B
Building Official Date 7/0
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
gned 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