HomeMy WebLinkAboutBUILDING PERMIT 16-0904 DATE TIME
CITY OF PRIOR LAKE /J
INSPECTION NOTICE SCHEDULED �/ I q ly
ADDRESS 33144
OWNER CONTR. I(‘ -7-500
/
PHONE NO.
PERMIT NO. v (�-7- "' J r
❑ 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 0 GASLINE AIR TST
❑ SITE INSPECTION % MECH FINAL 0
COMMENTS: i 's'
01,,,}-0,JC:
(___,
WORK SATISFACTORY,PROCEED
2(
CORK i ION AND PROCEED
❑ CO' 'ECT ,)'K,CALL FOR REINSPECTION BEFORE COVERING
Inspe«or: 1 Owner/Contra
C, _ r�.7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
OF PRtp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5i.12— (O
AND UTILITY CONNECTION PERMIT
v
I. White File I PERMIT NO. ! & _ cc04
4��VNEseo" 2. Pink City
3 Yellow Applicant
ase type or print and sign at bottom) ..------
ZONING(office use)
ADDRESS V� 1-
1� 1�P11 54 ski 3a6,- Lake r1),/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) C.l�/ 4)y Dar 1,47A (Phone)
Prior(Address) �1 V Ke s -51^/ l` f ipr tq ,k� /til
, 04 I Phone / ';� 7‘��
BUILDER z/y
(Company Name) alt e xne` (Phone)
952_9 9q--3-980
6
(Phone)
(Contact Name)/'
(Address) /O Wiz- t `• P.t0'14A /`'t i✓ �5�- ->'7
TYPE OF WORK D New Construction ['Deck ❑Porch , e-Roofing ORe-Siding ['Lower Level Finish D Fireplace
❑Addition ['Alteration DUtility Connection
41
❑Misc.
ODE: DI.R.C. DI.B.C.
e of Construction: I II III IV V A B PROJECT COST/VALUE $
upancy Group: A B E F H I M R S U (excluding land)
ivision: 1 2 3 4 5
ct. I also certify
hat I
the
zed agent for the
ecertify t I havefurnishednaall constriction n onw l conform to all existing state and local laws and will proceed ins application which is to the best of my knowledge true and e accordance withsubmitted plans owner
I am awareithat the building
above-mentioned property and
official can revoke this permit for
ju . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed n �i�n
s.
R /� Ciis Soo Date
Signature
Contractor's License No.
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 $ /e,71., d 0
0
This Application Becomes Your Building Permit When Approved Paid /d I Rece t o. 65e� I
[ .- d
Date �_(Z . 7/ i Re
Building Official Date
liksto 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
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372