HomeMy WebLinkAboutBUILDING PERMIT 16-1042 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1.\ZZ 1
ADDRESS .Y
OWNER CONTR.
PHONE NO. PERMIT NO. ) (,,.) ) `'i 1--
❑ 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 ❑ ,GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
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Co-A-(-9 adz-3"--9-V3
-(2.1. ...A.,„,__?...e p...„...ex
-WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
ORK,
Inspector: ` `-i- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(c-1PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
,,,„Eso.
xrj AND UTILITY CONNECTION PERMIT 9t )3 1 6
U j
�. I. white File
Z. Pink City /I PERMIT NO. /&t 10
4
3 Yellow Applicant
type or print and sign at bottom)
fIl)RESS ZONING(office use)
'3 7 6 reGzy Po in#. Rogc/ A 6
LEGAL DESCRIPTION(office use onlp
' / /
5ke 2.j� I L� PID ZJ�"'0 to "��, -/
LOT OCI� ADI7ION
OWNER (Phone) 4/.2 — f9/-�69
(Name) ,G'0 LA
(Address) 1537f ,Breezy Pe%if Road
BUILDER - ya D`/�7
(Company Name) Pro EXfe-r:0 rS (Phone) 950? 6
(Contact Name) Steven M.,k k o h (Phone) q,a- c2.50071 '7
(Address) Ct07a LyNDAix Ave.. 5. , BLoo en,N&TON, r) A) $54a0
TYPE OF WORK 0 New Construction ['Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑LR.C. ❑LB.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ y� 000. 00
iloupanty Group: ABE F HI MR SU (excluding land)
ision: 1 2 3 4 5
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 can 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.
X ! i/!%i 6OW1 8' 9 /f3 470470/4,a,
Signa re Contractor's License No.
Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ (A 3_07) Water Meter Size 5/8"; 1"; $
State Surcharge $ (f l . 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 I $ TOTAL DUE $`/0 ` aV
This Application Becomes Your Building Permit When Approved Paid
q ` Receipt Nolo O
Date dor B
Building Official Date '
411
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 reqThidocum
signed by the City Planner constitutes a temporary Certificate of Zoning compliance anda
allows construction to commence. Before occupancy,a Certificate of Occupancyuested. s must beent
d.
Planning Director Date Special Conditions,if any