HomeMy WebLinkAboutBUILDING PERMIT 16-1237 DATE TIME
CITY OF PRIOR LAKE SCHEDULED G
INSPECTION NOTICE
ADDRESS
45 Sce cywv .<�
CONTR.
pWNER /
PERMIT NO. / l a3
PHONE NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING 0 MECH RI ❑ COMPLAINT
❑ FOUNDATION 0 FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP AL
CE FI
REPLAN
0 SEWER HOOKUP 0 0 FIREPLA GINEAIR NAL
❑ INSULATION 0 PLUMBING FINAL 0
'SNEL 0 MECH FINAL
ITE INSPECTION
COMMENTS:
PilA
a
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORR T OR ,CALL FOR REINSPECTION BEFORE COVERING
0Owner/Contra
Inspector ,
CAL 50 FOR THE NEXT INSPECTION 24 HOURSIN &pSAFETY!
VANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH
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PRI°,' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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U / \\i TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
,\ J. AND UTILITY CONNECTION PERMIT
NivESO
2 1A�11��1i11
Pink City L`White File
2. PERMIT NO. /0 . C 23/x
3.Yellow Applicant
se type or print and sign at bottom) \ N ZONING(office use)
\ RESS
10
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LEGAL DESCRIPTION(office use only) / i.
LOT /`-�
3BLOCK ADDITION/ kk
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OWNER (Phone))( �— �� cl �
(Name) C (-a 1 5�
(Address)
BUILDER nn 1-- (Phone) > � l
(Company Name) --\---V-‘--\---V-‘.Q.`r` \�1 Oc
g•((, (Contact Name) 0 6. Yl (Phone) la t27 325K-- ( c l
(Address) t) v NWr , r d r _
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TYPE OF WORK ❑New Construction ❑Deck '_ srchRoofing DRe-Siding OLower Level Finish 0 Fireplace
❑Addition ❑Alteration 0 U Conn ction
CODE: I.R.C.Ii
QI.B.C. ❑Misc:
T pe of Construction: I II III N V A B
panty Group: A B E F H I M R S U PROJECT COST/VALUE $
Sion: 1 2 3 4 5 (excluding land)
I hereby certify 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-menti', ed prope . • . struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official caanvok- ...pe..•'- . just cau -. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.`
A 'bCL4,SV12- � V r L-
J_ Date
Signature ' _}�Contractor's License No.
Permit Valuation
Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
103.
State Surcharge $ C . 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 $ 10 4t Do
This Application Becomes Your Building Permit When Approved Paid 104 1/40D Receipt No. I 201
Date /0 2sc I Co ByS(.5-*".
Building Official Date
to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedtaficas quested. This
mut document
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, Occupancy
be
Ilk
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