HomeMy WebLinkAboutBuilding Permit 15-1545 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE _ I
SCHEDULED
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 CEP
❑ FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE
❑ FINAL 0 PLUMBING FINAL 0 FIREPLACE FINAL
4 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT iidir
K,CALL FOR REINSPECTION BEFORE COVERING
Inspector: , Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
LNSNOTJ
of piti-0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
-. AND UTILITY CONNECTION PERMIT /Z-2Z 15
U t,
4,4„Esest. I. White File iIlk
PERMIT NO
2. Pink Pity I �(�L�C
3 Yellow Applicant I J TGA
ase type or print and sign at bottom)
DRESS I' ZONING(office use)
c� a v � -CwC G-e 5--� C;c c_I-e (v _ /s
LEGAL DESCRIPTION(office use only)
Y
LOT BLOCK ADDITION�I2W? C cJ .S' 6 f ,JPID 2S- 3X00-- ev57- 6
OWNERfnt( S2 C
(Name) t�l YY1 \\a 1 NTh (Phone) Ile •7 J4.11
(Address)
BUILDER 1
(Company Name)?it tiro-C-wc1/4\ 1�v P1/41-vIf,(S-e tv (Phone) CDS I - (.C1-y C aE,
(Contact Name) (Phone)
(Address) 19 Z U Co. --i.d. ‘‘c," We 51- •)hose j— l V c r ss 11.7,
TYPE OF WORK ❑New Construction ['Deck ❑Porch ORe-Roofing Re-Siding ['Lower Level Finish ❑Fireplace
I
❑Addition ['Alteration ['Utility Connection .r p`q D (A.""oic),.)- S c"..5)rh I
CODE: ❑I.R.C. ❑I.B.C.iiv
0 Misc. �J�c ►s�1+^� C�e� -?..._...__..._._......_.—
ype of Construction: I H III IV V AB 3) �"3_I °
cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ision: 1 2 3 4 5
(excluding Iand)
I hereby ce 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-men oned property and 11 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 ca revoke this permit cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X i - Ic.elr-ten TDC.(a g 5 3-4- lC4 CL ) S
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # j $
Permit Fee 1 $ SAC # $
Plan Check Fee I $ __ Water Meter Size 5/8"; 1"; $
,,, 4.
State Surcharge $ Pressure Reducer $
Penalty ` $ } Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit II $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL D� /UE� $ /5—. 1$
This Application Becomes Your Building Permit When Approved pai�✓ ' Re�cei t No. .3 leg
Date ! 2,21; is— , B' y —
Building Official Date
0is 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
is
'n 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