HomeMy WebLinkAboutBUILDING PERMIT 16-694 DATE TIME
CITY OF PRIOR LAKE 74111
INSPECTION NOTICE SCHEDULEDADDRESS ' `�I El C' 4�lL�
OWNERCONTR.
PHONE NO. PERMIT NO. Ira6.
0 PLUMBING RI 0 EX/GRADIFILLING
❑ FRANINGDATION 0 M
❑
FOOTING 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
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COMMENTS:
till
COMMENTS: .� i- AA O
'r
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT C---Q63 )
WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector �. 2� Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
PR/O" CITY OF PRIOR LAKE BUILDING PERMIT Date Rec'd
(cciT
, / \ , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Ulf
ft-ii AND UTILITY CONNECTION PERMIT (4,- 22j tc,
r�'NES6S
1. white File PERMIT NO. 1,4D �., c �(-�►I2. Pink City
if
3. Yellow Applicant
e type or print and sign at bottom)
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RESS ZONING(office use)
' 5.c''))6 <-11 (,'` �� 12'jts 0
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITIONPID ' C(1 .01-7 -0
OWNER 3 /7p e'c c'/ �+
(Name) LJ r J T�C (Phone)
(Address) ---Ca L
BUILDER , / / G
(Company Name)/ tfC c 1`Of^ >` (C a.--S (Phone) 6/2 -/70
(Contact Name) A.A5`.14-c (__/C1 c"---C (Phone)
(Address) —7l2 7 /3 ,,' . -__C/c---Q (..6.--,.._c,/,(., tet '�-3–C1 (C6
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Re-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace
❑Utility Connection
❑Addition DAlteration P
CODE: ❑I.R.C. ❑I.B.C.
0 Misc:
T e of Construction: I II V A B
pancy Group: A B EH I M___,„--R S U PROJECT COST/VALUE $
ion: �:- 1 2 3 - 5 (excluding land)
I hereby certify that Ihai'e furnished ormation on th' .pplicati.. - - " . . -best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned.pifoperty an. . all constructio. .. on orm to all-.' state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can re e this p- •t .r just cguse: ermo ,I he -• .gree tha .e city official or a designee may enter upon the property to perform needed inspections.
he
74
ignature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 10bP) SAC # $
Plan Check Fee $ `v Water Meter Size 5/8"; 1"; $
State Surcharge $ l L23 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 $ (OLtThis Application Becomes Your Building Permit When Approved Paid f ®("V wReceipt No. � 3(
Date V.224`10 By SILL/0
Official Date
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 11
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