HomeMy WebLinkAboutBUILDING PERMIT 16-1084 DATE TIME
CITY PLAZ 5
INSPECTIONOF RIOR NOTICEKE
SCHEDULED /
ADDRESS L,(033 f c9 t uS
OWNER CONTR.
PHONE NO. PERMIT NO. ((o — i 08
❑ 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
e FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: (A)„n&OZA4,3„vi----
c.1„,
// --WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
iip
❑ CO-t
•RK,CALL FOR REINSPECTION BEFORE COVERING
Inspe • '1 Owner/Contra
PI
C•LL 44!9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
to+t, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT q 2X)..-
4INNesolt•
I. White Fite
2. Pink City l`PERMIT NO. I laS9
ase type or print and sign at bottom) 3
Yellow Applicant `�j
4111k)DRESS
ZONING(office use)
X163 3 Lord 5 St IVE, Prl'or Lake, /YIN 5S37?—
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION z --. / y
PIDc• 3S • 1.I
OWNER / L/
(Name) JU5fin g panne tura 41 (Phone) / -25'O4- 77.7-4
(Address) 4.1‘33 Lords 5/ NE, Prior lake- NA/ 5 37a-
)34344-DER Ccv,fracfc -.
(Company Name) Sd n0(2 et. Cuy,sfruc.h'ar, a Inc (Phone) 952-4/03-q/er,
(Contact Name)pKe u in 52/v1 d2 Lt- (Phone) 6/2-3‘3- 0190
(Address) 61q 25- LrrdaIf Awe, S, 8Ioen't4ljtem mh! 5-5-€/a-0TYPE OF WORK 0 New Construction ❑Deck ❑Porch •/
❑Addition ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
CODE: ❑I.R.C.
❑Alteration ❑Utility Connection
❑I.B.C. 0Misc.25 rfpI�cei.Yledbt windows; 3 rrp1aceme,-,t' Pafio ciaope of Construction: I II III IV V A B
illocu
panty Group: A B E F H I M R S U PROJECT COST/VALUE $ �i 3, I/91
vision: 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-mentioned property and that all construction will conform to all existing state a focal laws and will proceed in accordance with submitted plans. I am aware that the building
rfficia evoke this permit for just cause. Furthermore,I hereby agre that the city ficial or a designee may enter upon the property to perform needed inspections.
X dC oo72S1
Signature / Contractor's License No.
Date
Permit Valuation Park Support Fee #
Permit Fee $ /^ C() SAC
11.E # $
Plan Check Fee $
Water Meter Size 5/8"; I"; $
State Surcharge $ /
tb Pressure Reducer
Penalty $ Sewer/Water Connection Fee #
PIumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer&Water Permit Fee $ Other —
1 $
$ TOTAL DUE -
Gas Fireplace Permit Fee $ /6 jf-
This
Application Becomes Your Building Permit When Approved ! C)"-L V •
-
Paid 1L Receipt No. '�(� ��-
Date Cf.(3 �, lc,
� By 5,, M1 , -
Building Official Date '� �tJ
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
Sis
d.
Planning Director Date
Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372