HomeMy WebLinkAboutBUILDING PERMIT 16-741 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (?)\-2.7.\ ! P
ADDRESS 3 --).-cis 1�...,.. ..e ja'
OWNER CONTR. / J
PHONE NO. PERMIT NO. I ' ]
O FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
0 FOUNDATION CI MECH RI 0 COMPLAINT
O FRAMING 0 WATER HOOKUP 0 FIREPLACE RI:
O INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
O SITE INSPECTION 0 MECH FINAL "
COMMENTS: - ,,c-D.
r
CJ--•%1e-- \-L12- ,
!'
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-8850 FOR THE NEXT INSPECTION.24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(VDCL 00
4.(ICçPR���P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
ott' 11' White File PERMIT NO. /(o 7¢I
MES 2, rink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
)Z36 SS 'r 1rC,JC 5U
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER (� c ZyU_ )7tS7
(Name) Gavi U'tKen 56 n (Phone) 9 5Z
(Address) 3 Zjt sp (ct-Ce l ra d, ?t-ro ( (..-Cx ) n N) 537z
BUILDER9'9 Z "Ztf(�_ 7�Z
(Company Name) 1 n Ito kJCC)ACel'S c;4‘ J nne5o'k' (Phone)
(Contact Name) -Tien Pn9-re`'`) ,t� C (Phone)
(Address) Z ) EV G.. 53/1) JC A+ PGS-u-L) / t N j 7 5167
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection C l"
iiiCODE: ❑I.R.C. ❑I.B.C. .12 Misc. u. (Acct . } L r►en�J 110 j cwt cfit,�r� ,
ype of Construction: I II III IV V A B PROJECT COST/VALUE $ bO
ccupancy Group: A B E F H I M R S U (excluding land)
ivision: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge tale and correct. I also certify that 1 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.
PC16 `193 6-z2- 16
X Signature I Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $ l
Plan Check Fee — $ Y — 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 $
This Application Becomes Your Building Permit When Approved Paid (0 , VU Rec pt No. ( v
Date � -'� e6 (p By ,
Building Official Date `
his u 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
1
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
sued. i
Planning Director Date Special Conditions,if any 1
24 hour notice for all inspections(952)447-9850 1
4646 Dakota Street Prior Lake,MN 55372