HomeMy WebLinkAboutBUILDING PERMIT 16-1806 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED C1121(/
1121 /Js
ADDRESS 5,35-4 St-4-14:1- ------
OWNER
J-+d -OWNER CONTR. �i�
PHONE NO. PERMIT NO. `C .- rik(p
❑ 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 ❑ FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: `. v
Y
-6 5.(je•--e ).? c°
WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORREC W•RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: i Owner/Contr:
CALL 447-985, FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODER i IREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
/NSNOTI
•
04 PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' , AND UTILITY CONNECTION PERMIT
0 4
r'�'NE Sd
I.`rink Cay I PERMIT NO. /t!9 8 0&
2. Fink CLTy t/Y/
3,Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS
5-3 -70 ,512 ----1.r 7t"
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name 7c1'‘ /Z- &p (
(Phone)
(Address) J}/1,7C
(Comp ER g.,/.?;_6:47-7,- ? .,-. (Phone) 7C3 °�{�?-3-'5(Company Name) -, j(Contact Name) 1 6.4.:.-'-y.-45 ---)-----) (Phone) 7c � g /
. (Address) S-6'00 /r`..a-(5 v -2 ��.r
n-S f1, 553 47
TYPE OF WORK 0 New Construction ODeck DPorch 012e-Roofing ❑Re-Siding QLower Level Finish 0 Fireplace
[Addition OAlteration DT3tility Connection
D Misc . eV/j-e - & S-
T pe of DI.R.C. �I.$.C. j ^��
Type Construction: I II III IV V A B / J �
Occupancy Group: A B E F H I3 4M It 5 S U PROJECT
(exctua COST/Vng ALUE $
• Division:
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 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 car.;.e....ii this permit forLffusertthermore,I eby agree that the city official or a designee mayupon a property to perform needed inspections.n /�
G2 '- -1. („64,7-t..y `ff�� //� `; / Date
r 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 $
This Application Becomes Your Building Permit When Approved I Paid /0!' Lv Rec t No. L 7- l U
Date -j, Z U� dG By '
Building Official Date
This is 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
when 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.
S
Date —'--
Planning DirectorDate
hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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