HomeMy WebLinkAboutBUILDING PERMIT 16-950 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED e1310
ADDRESS / _7s� 7/1672'`fet
OWNER CONTR.
PHONE NO. PERMIT NO. I CP : S O
❑ 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 ' -4s V
—
COMMENTS:XVVORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
mSNOTI
oPRio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ? 2,3/6
AND UTILITY CONNECTION PERMIT
kfivNE50tt' I. White File / s
2. Pink city PERMIT NO. 6 6 e/
. "
3 Yellow Applicant
ease type or print and sign at bottom)pi)
DRESS jZONING(office use)
/tj 767 a/`e, 1- SE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /, // 0D r�
(Name) /`A e— Che( eJ (Phone) 95 912- 33-70
(Address) ( s ! 14 e lr
BUILDER
(Company Name) 411/ Coq° p&r 1- /A. rrical (Phone) 115- - 91r-y.c0
(Contact Name) e4 el W n/ tri (Phone) N> r*-- We>
(Address) tC7ai E /tx 64-0 a ln✓'ncv,//k
TYPE OF WORK ❑New Construction ['Deck ❑Porch Eike-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
ii
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II IIIIV V A B
ccupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
(excluding land)
ivision: 1 2 3 4 5
1 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 rev this pe 't for j t eau . Furthermore,I hereby agree that the city official or
cciial ora designee may enter upon the property to perform needed inspections.,„
1J
X c7g(�dY
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee Water Meter Size 5/8"; 1"; $
t5t
State Surcharge �� E' 61 Pressure Reducer $
Penalty ��A1L Sewer/Water Connection Fee # $
Plumbing Pt w VNQ10 Q� e+Gt�m Water Tower Fee # $
Mechanical I @C;M019 Builder's Deposit $
Sewer&Wate ,ai,e _ $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /OS.. 6 0
This Application Becomes Your Building Permit When Approved Paid `04(17.-) Recei t No. `�,(..S
Date a,-J,,CC By
Building Official Date / y
is 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
ht
en 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
ed.
Planning Director Date Special Conditions,if any