HomeMy WebLinkAboutBUILDING PERMIT 16-1046 DATE TIME
CITY OF PRIOR LAKE 1
INSPECTION NOTICE SCHEDULED \dl)\)t
ADDRESS i 'J ) rr b/ C,,,V--c-A4 C-kt—'
OWNER CONTR.
PHONE NO. PERMIT NO. 7c - /U 4-6
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH 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 ��7�� is
COMMENTS: ��I,-,5 ,
C , s--,sz
iWORK SATISFACTORY,SATISFACTORY,PROCEED
❑ ORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
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PRIprP CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (.($AND UTILITY CONNECTION PERMIT Gn
lygsOlI. White File
2. Pink City PERMIT NO. 1(0' ,_ ityith3 Yellow Applicant
se type or print and sign at bottom)
DRESS1,
1 ZO G(office use)
1 60'(-/ O Ridie c_ r i t5[)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID aS• o 3 O1-7.®
OWNER
(Name) f y,*IV t/1 t '1 :7 CdL V" '6✓v! (Phone)
(Address) L51 ; A' 0,-.,k, t dc C,U✓GL
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BUILDER / J
(Company Name) 1...Jh,� ca,;4 e6,"( ,f r L L(. (Phone) 6f "'C,�C?—5z.(,,�
(Contact Name) R02�..2,(/ 0 !d e" ?w`1.1 ,C,,� (Phone)
(Address) Z 'fr. 6ovVa✓'n t-{► i 1 s l-,t
TYPE OF WORK ❑New Construction ['Deck ❑Porch ORe-Roofing ZRe-Siding OLower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. El Misc.
e of Construction:
pOI II III IV V A B PROJECT COST/VALUE $
pancy Group: A B E F H I M R S U (excluding land)
ision: 1 2 3 4 5
1 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-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 c oke is permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
1 X ,C t5 6F S° z1, /g
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ to 3LX) SAC # $
Plan Check Fee $ / �® Water Meter Size 5/8"; 1"; $
State Surcharge $ I (.1V Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ �,�p
1�qt7�
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid Vib �,r Receipt No.
Date q., , .. (� By
Building Official Date
111 is 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
-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
rd
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372