HomeMy WebLinkAboutBUILDING PERMIT 16-0779 DATE TIME
CITY OF PRIOR LAKE
SCHEDULED c` 'LL. �'
INSPECTION NOTICE
ADDRESS 1 to
OWNER CONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUUNDNDGATION 0 M
❑
FOOTING RI 0 COMPLAINT❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL >
COMMENTS:
. I I
. .a
1111
3NORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WO ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Dont:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
eL. 6,62_ g.4-1 _ 4l4S-
Oi PRlp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
en AND UTILITY CONNECTION PERMIT
3'1 I. White File I PERMIT NO. /67. 71
�'NES��r 2. Pink City
3 Yellow Applicant type or print and sign at bottom) ZONING(office use)
1!")
DRESS
(lin On Ciicit SAN, Pncr LaKe, 553-72_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER - (Ph�nP)
i�
(Name) L.�Oncirt� 19gw1cl�
(Address) 1-1 ill (d a l rc L-c 9.A/
BUILDER (Phone) 1-333-1(0i-1
(Company Name) S fC) C& 5 CO� (Phone) lQ 7. "3 ✓�� ��
(Contact Name) Jt f lnQ ` 'Q(n�
(Address) JZGO ViUf4I3()1d} Avt S i (2-0, RD/lino-on , old 56431
TYPE OF WORK D New Construction ['Deck Porch DRe-Roofing ORe-Siding Lower Level Finish D Fireplace
❑Addition DAlteration DUtility Connection n �) I ^/I���
Misc.Illov
1�� v
vit
CODE: DI.R.C. ❑I.B.C.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ S •
>goo 0a
cupancy Group: A B E F H I M R SU (excluding land)
ision: 1 2 3 4 5
t for the
I ove- nti n d pro have find th tdall consuuon onct on will conformapplication
to all x sting state and lest ofocal laws and will proceed in accordance y knowledge true and correct. I also certify
h submitted plan owner
I atm aware authorized
that the building
boc. evod property rry
official c. revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
_.jQ & Olo ( 1– -1- 1�
X '� u ��l Contractor's License No. Date
Siggnature
Permit Valuation
Park Support Fee # $
$ cAr # $
P c:i mit Fee
Plan Check Fee
$ Water Meter Size 5/8"; 1"; $
$
State Surcharge $ Pressure Reducer
$ Sewer/Water Connection Fee # $
Penalty
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 Paid /0 44d U Receipt O. (dyer
Date -7. 01. 16
By
Building Official Date
the
Zoning
as
ed. This
nt
s rsig certifythat
y Planner constitutes a temporary Ceication rtificate of Zoning anying ocuments is in compl compliance andallows construction to commenccee. Before and
to Certificate toftOccupancy tmust ben signed by City
cd
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372