HomeMy WebLinkAboutBUILDING PERMIT 16-998 DATE
TIME
CITY PRIOR LAKE SCHEDULED
CV22/44 ------
INSPECTION NOTICE
ADDRESS
%
OWNER .---------------- CONTR.
PERMIT N
O. ,� '____-:-1-1L------3 _
PHONE
y q
O FOOTING 0 PLUMBING RI 0 EXJGRA
DI
FiL
LI
NG
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLAIRL
14
❑ SITE INSPECTION ❑ MECH FINAL 0
/
COMMENTS: I', ,J
bks •
1111A11111 L._.,
WAG
WORK SATISFACTORY,
or
0 CORRECT ACTION
AND PROCEED
❑ CORRE
C ORK,CALL FOR REINSPECTION BEFORE COVERIN
G
t OwnerIContr.
Inspector. ___.._-----------
11 '
CALL . -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE
FOR YOUR PERSONAL HEA.LT
H CODE REQUIREMENTS ARE uvsxon
ORIo4> CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
(cP
//f \ v 9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S/, f I /b
"�'�, J. \>,)
g AND UTILITY CONNECTION PERMIT
'INNES()' '
1. White File
2. Pink City PERMIT NO. /6, qg
3.Yellow Applicant
ftype or print and sign at bottom)
e
RESS ZONING(office use)
33 V- Sc.36cc.,:1--- hc-L
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER }
(Name) 1 i 0 -l.o•xq (Phone)
(Address)
BUILDER
! CZ � IC(G o
(CoCompanympanyName)��,�ac� 1 -" —S. (Phone)
(Contact Name) .t.y/_ .. 1 �J (Phone) �I 2- z.:3(3 CP d
(Address) If./ A f<-11t-SL,,r (4 Pit-v?�" -t t &,71451.-1/6- /11N nt s>337
TYPE OF WORK ❑New Construction ❑Deck ['Porch e-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition DAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc:
T e of Construction: I II III IV V A B j�)
ancy Group: A B E F H I M R S U PROJECT COST/VALUE $ SI) li
ion: 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 pr.,,, and .t all cons.r,-..n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official .,1' ispe.• ca -- urthermore,I here. . ..-city official ora designee may enter upon the property to perform needed inspections.
1.y �yyl�y,
X ® - % G''5oct.P7 1513///.
Signature Contractor's License No. Date
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 $ /0 GiD
This Application Becomes Your Building Permit When Approved Paid /6'V do Rec • t No.G`7(t
Date /_I to By i
a,-16.6
Building Official Date
111 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
'gned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372