HomeMy WebLinkAboutBUILDING PERMIT 16-1130 CITY PROLADATE
tit NROTICEKE TIME
SCHEDULED �� �
ADDRESS � 0
OWNER
CONTR.
PHONE NO.
PERMIT NO. I(o_ fl3O
D FOOTING 0 PLUMBING RI
❑ FOUNDATION ❑ EX/GRAD/FILLING
❑ FRAMING 0 MECH RI
0 COMPLAINT
❑ INSULATION 0 WATER HOOKUP
0 SEWER HOOKUP 0 FIREPLACE I
FAL ❑ FIREPLACE FNAL
❑ FINAL 0 PLUMBING FIN
0 SITE INSPECTION 0 GASLINE AIR TST
O MECH FINAL 0
COMMENTS:
C'S V--
YORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORRECT WORK, LL 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
PR
� �
//� \� CITY OF PRIOR LAKE BUILDING PERMIT, Date 1Rec'd
U \ TEMPORARY IF.I; O /' /
< ANI UTILITY
CERTCONNECTIONCATEOFZNING PERMITCOMPLIANCE
//
ArN E SO T. �,.
I. white File PERMIT NO.
2. Pink City ( _ ( f "7 C
3. Yellow Applicant
se type or print and sign at bottom)
\)RESS C-j` 1 _ ZONING(office use)
2 ao t C1 S1 c-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERiN e ACV I C w r\ P P\g 1('M E J\S
(Name)i- � (Phone)
(Address) ----- 200 ICG141 c 1 5 r-
BIJHLDFR
(Company me) 7 R,L M'1 $" E ) e (Phone) 9 IS 2_" 5E Q c78 .
' Q}3 f3 PJ J H G I t�
(Contact .,, (Phone)
(Andress) J �e
}!c"`--IrZ tR.VILLC 1- n.
TYPE OF WORK ❑New Construction )eck ,Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection 1 R
CODE: DI:R.C. DI.B.C. ❑Misc:
Type of Construction: I II III IV V A Bycc
panty(}rpup:n,. A B i F H I M R S U PROJECT COST/VALUE $ 6 /t c-
ion: t R i 1 t '4'' 1 2--, 3, 4,.` 5 (excluding land)
.ereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify Marl am the owner or aulhbrized 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. Fu a ore,I hereby agree thatthe-city official or a designee-may enter upon the property to perform needed inspections.
Signature 1 Contractor's License No. Date
Permit Valuation ` )Park Support Fee # $
I ,ocf•Uv
PermirFee $ ' OCI �_� , _ SAC # $
Plan Check Fee _ $ 9, Water Meter Size 5/8"; 1"; $
State Surcharge E $ c, a Q Pressure Reducer $
Penalty- $ Sewer/Water Connection Fee # $ `
Plumbing Permit Fee $ , Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee, $ i Other $
t-. ; 'fy . _ t ' i
Gas Fireplace Permit Fee $:-i 1,--4{ L.,-. - ` ' TOTAL 1jI7E A , ✓ i q. 33 if, $ 4'7 +0
---, I i .. r 4,- r I i I I
TIiis pp egomeps Your Building Penhit Wh n Appr` edj V, `Faktd -- 6 Rept No. r 02;,,' '
t I l'�z -71 Date /D . 4-. /G� By,
C / r
B `)'ding Official date
to certify that the request int�h�e,.1above application:and?accompanyinpdocuments is1tl n
in accO ce withlthe•City Zoning Ordinance and may proceed as requested. This document 4
)9
gned by the City 3Jennet`toh$tti>ltes a temporary Certificate of.Zo$i((g eomplrancetanci a'llovis-consfructitin to commence. Before occupancy,a Certificate of Occupancy must be t
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