HomeMy WebLinkAboutBUILDING PERMIT 16-989 CITY OF PRIOR LAKE / DATE TIME
INSPECTION NOTICE SCHEDULED _`/*e,
ADDRESS I 5J L \ AeSS --c).)?)
OWNER CONTR.
PHONE NO. PERMIT NO. /62 .. 9e,q
❑ 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 0 MECH FINAL 0
COMMENTS: 12.e.re-ofs
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/a.WORK SATISFACTORY,PROCEED
❑ CORR. TION AND PROCEED
❑ CO- - / OR ,CALL FOR REINSPECTION BEFORE COVERING
Inspe . / Owner/Contr:
CAL . --9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
J?SNOT!
oo ntto� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 30 < 1�' " AND UTILITY CONNECTION PERMIT
4/10/ESov• I. white Cit
2. Pink City PERMIT NO. /6, 99O
3 Yellow Applicant
type or print and sign at bottom)
ADDRESS • ZONING(office use)
o(A(0 e • ex- . a. n NW C o-Cj L�, (`1\1\)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ieak, cJ0 (Phone)
(Address) t5ocvo De4excr> V SS N W ?ciO icx.ke_ (`()N
BUILDER ,
(Company Name) '�1i�'- ; $O�kr .-Q t� 1 (Phone)
(Contact Name) tell Q.l.r (Phone) (60-i cl"�y lc. 'Pro
(ICC(Address) 1 1(`LOA,.) �i-\)o A\10�(L�-'t VG CD-SI-U37
TYPE OF WORK ❑New Construction ['Deck ❑Porche-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connec ton
oliuLODE: ❑I.R.C. ❑I.B.C. 0 Misc.
e of Construction: I II III IV V A B PROJECT COST/VALUE $ c5""5-00C)panty Group: A B E F H I M R S U (excluding land)
vision: 1 2 3 4 5
I hereby certify that I have furnished information on this ap. ation 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 construe no will .nform 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 or jus ause. F'I1w o e,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 7 Cf J.-)7 los(aai �.o(6
Signator- t Contractor's License No. ate
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 D/ 7�DUE $ f(j 14 (A-
This Application Becomes Your Building Permit When Approved Paid /U &I> , Receip o. & ' '
Date r.3i) . ((p By _
Building Official Date
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
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