HomeMy WebLinkAboutBUILDING PERMIT 16-839 DATE // TIME
CITY OF PRIOR LAKE -Lc) I Y
INSPECTION NOTICE SCHEDULED
` -�,. n
ADDRESS �
OWNERCONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOA0 FIREPLACE RI
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL
GASLINE AIR TST
Cf FINAL 0 PLUMBING FINAL 0 4
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
V
‘tlytK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W RK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
Date Recd
� ;
O� PRIp�
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7.) PI
I. White File
2. Pink City PERMIT NO. /Co b-?
ii _y�NHES�•�R'
3 Yellow Applicant
type or print and sign at bottom) ZONING(office use)
DRESS
514(46 54e� C (C—e S.,2_ •
•
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION �.����
OWNER `�\ Phone} 950" --�
(Name) �a (b �A I '� {
(Address) ."i
j BUILDER .$ ,� �� 1 �4
(Company Name) tth{v.3c�� (Phone)
(Contact Name)
(Phone)
I (Address) 19 2.0 O.'?ted• "C" tie S3- •?nwt oiN1l�E mcV SS 11-12,TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re- fing Re-Siding ['Lower Level Fini h l Fireplarre J�,1^
❑Addition ['Alteration ['Utility Connection re-Siding
�/l/ ! 1
CODE: DLR.C. ❑LB.C. ( `j
e of Construction: I II III IV V AB PROJECT COST/VALUE $
panty Group: A B E F III M R S U (excluding land)
sion: 1 2 3 4 5
I hereby • ify 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-me oned property and tha construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official ca evoke this permit for tat use. Furthermore,I hereb that the city official�a designeemay enter upon the property to pert' ec nsp tions.
X Ci/� Contractor's License No. ate
Signature
Park Support Fee # $
Permit Valuation
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I";
Pressure Reducer $
State Surcharge $
$ Sewer/Water Connection Fee #
$
Penalty Water Tower Fee # $
Plumbing Permit Fee $ $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $
TOTAL DUE
7• QU Recei•t No. rL1[
This Application Becomes Your Building Permit When Approved Paid C B
Date ..."
Building Official Date
410
ity Zoning
ance and may
ed. This
11!11isig certify by that the annt c the above application and
of Zoning compliance and allowsaconstructioen to commence. Before occupancy,proceed C tt ticat utftOccupancy documentmust e
signed by the City Planner constitutes a temporary
d.
Date Special Conditions,if any
Planning Director .__-. .._ ----