HomeMy WebLinkAboutBUILDING PERMIT 16-997 ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. _9_9_1--
0 PLUMBING RI 0 EX/GRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL
■
❑ FINAL 0 PLUMBING FINAL GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
AIL1
4NORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
E. of PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE £,..3 i,1.
AND UTILITY CONNECTION PERMIT
�A'NESo�� I. White File PERMIT NO. /�7
2. Pink City // n
Yellow Applicant /(�
print and sign at bottom)
DRESS ZONING(office use)
/($8z b , kAu t,V.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWN `JR-11 G 1 cd-fer
ame) Y y (Phone)
(Address)
BUILDER I-1 9'52--
!l
'•mpany Name I en CY�G(✓ �Gns�� 3,,C. /5Z'�q 2—(/ e
// �, / / ) on
-ontact Name Lllye 44 ep,en be ckee" (Phone)
'MopLig ``4k ,/nfi2 / R eecc,r►,i2 .A4.,v s 5.18'7
TYPE OF WORK ❑New Construction ❑Deck ❑Porch 21e-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
CODE: ❑I.R.C.
❑Addition ❑Alteration ['Utility Connection
imu ❑I.B.C. ❑Misc.
e of Construction: I II III IV V A B
pancy Group: A B E F H I M R SU PROJECT COST/VALUE $
ision: 1 2 3 4 5 (excluding land)
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.
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etlikr
.n ractor's Licens- .•.
dialso Bak
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 Perrnit Fee $ TOTAL DUE $ `G (J.3
This Application Becomes Your Building Permit When Approved Paid `CJ' Cf..) R eipt No. 67 4-Z
Date ,3 (1 C
Building Official Date
sro 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
ted
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372