HomeMy WebLinkAboutBUILDING PERMIT 16-1232 DATE TIME
CITY OF PRIOR LAKE SCHEDULED `\ S 1� ---
INSPECTION NOTICE
ADDRESS 3 a\ , ` ` -�
OWNER CONTR.
PHONE NO. PERMIT NO. L- r2_1_1_____,3_1.4---
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
0 MECH
❑ FOUNDATIONRI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑j ASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: ` 4 ,
lc- -
%WORK SATISFACTORY,PROCEED
b CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: ` ,ef-C-P Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
��� 0,- PRIo•P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U j / 4i /J4/// AND UTILITY CONNECTION PERMITrN�o�
I. White File
2. Pink City (/PERMIT NO. /6,,/z3 24
3. Yellow Applicant
e type or print and sign at bottom) ZONING(office use)
R/E/ss9 r/� /��+ -�o L/ ��[/
G/ / {� e //y Vier l�/l _/ Pr/ _ " „. e l �� I --
LEGAL DESCRIPTION(office use only)
/
LOT BLOCK / ADDITION 6&-.-./1416-3
// — U&/ PID L'S –��v'✓ w/—/
(Name) g 1, /c+r o (Phone) _ s3-/f5// Sf o
(Address) S 6 < Zed-Y-167 GP r'-ck' ( f i`kiC 4- 'e-
BU LDER pp // 41-7 (Phone) ,y-.2 4/‘-74/‘-7 yam?3
(Company Name) &�h o i✓! e-7(er 1 0t-f
(Contact Name) OPV a P sig/,• (Phone) ro/ 7e o 2 10
40V-
6-rCe-� �k /fl, .���
(Address) g�''7 S:77.0- AI It_ , r
TYPE OF WORK 0 New Construction ['Deck ❑Porch0.e-Roofing ❑Re-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration ❑Utility Connection
CODE: ❑I.R.C. DLB.C. ❑Misc:
T i e of Construction: I II III IV V AB COST/VALUE $ � �
pancy Group: ABE F HI MR SU PROJECT /
don: 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 cons 'on 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 oke this permit f t cause. rthermore,I hereby agree that the city official or a designee may'enter upon the property to perform needed inspections.
XC7
CGS'/1`'�Cl/ /� l,
Signature Contractor's License No.
Permit Valuation 0 :::,,q*
Park Support Fee # $
I 61)
Permit Fee $ ®, ( t 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 $ l 0 4OO
This Application Becomes Your Building Permit When Approved Paid/0 4- 0 a �i Receipt No.
1 -
69
Date '- �� I By
I��Z! S
Building Official Date
th the City Zoning
rdinance and may
ed. This
ent
to ed by the City Planner constitutes a tthat the request in the above emporary Certificate of Zoningon and accompanying ocompl compliance and cuments is in accordance
construction to commence. Before occupancyproceed Certifica euoftOccupancy must be
1010
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