HomeMy WebLinkAboutBUILDING PERMIT 16-1172 DATE
TIME
SCHEDULED (l
CITY LA
INSPECTIONOFPRIOR NO CEE r•�r
ADDRESS CONTR. n 2----
OWNER � � l
PERMIT NO. D�FILLING
PHONE NO. ❑ EwGRA
0 PLUMBING RI 0 GRADIFI RI
0 MECH RI HOOKUP 0 FIREPLACE FINAL
T
❑ FOOTING 0 WATER 0 FIREPLACE 0 FRAMING T O FOUNDATION 0 SEWER HOOKUP 0 IREPLA AIR AL
❑ INSULATION 0 PLUMBING FINAL 0
SITE
FINAL 0 MECH FINAL
❑ SITE INSPECTION
COMMENTS: t
r
SATISFACTORY,PROCEED
WORK COVERING
0 CORRECT ACTION AND LL FOR REINSPECTION BEFORE
❑ CORR"
•RK,
.l Owner/Contr:
Inspe
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
HEALTH&SAFETY!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL
INSNOTI
ILDING
R
� PR./0 CITY OF PRIOR LAKE BF ZO NG COMPLDate Recd
IANCE (c
a° 1. TEMPORARYAND CERTIFICATE
UTILITYCON)O CTION PERMIT `o' .
( ,i
"6 rel
41/4"150111.41/4"150111. 2. Pin
t.whikte FCity -7 iPERMIT NO. Mr
3 Yellow Applicant
ease type or print and sign at bottom) ZONING(office use)
ADDR--33 S b3/ /)ESS CJS t
LEGAL DESCRIPTION(office use only)
PID ' 1
LOT BLOCK ADDITION
OW(Name) c�1'NER -�i vvci-'3 tAC�("),< vv11t- lc (Phone)
(Address)
BUILDER 1103 W. Burnsville Pkwy, Suite 110 (Phone)
(Company Name) Burnsville, MN 55337
(Phone)
(Contact Name) 952-895-8100 / MN Lie 0 BC 639097
(Address) or lia.ro.'`Yom[
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ]Re-Roofing DRe•Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
0 Misc.
CODE: DLR.C. 01.B.C. I 1.-L-1--t-
e of Construction: I II III IV V A B PROJECT COST/VALUE $
cupancy Group: A B E F II I M R S U (excluding land)
Division: 1 2 3 4 5
tify that I
a oveby certify that 1 have and thatd information on h conformoto all existing state and local laws and will proceey knowledge trtle and d neacco d accordance with submitted plans.the owner
I am aware authorized
that the building
above-mentioned property and that a conFiction
official c�,y.- ����• st cause. Ft, I hereby agree that the city official: EtTT0 ° 0.
rm medeOn�uuns�DSignatureConctor's Lice"� �� Park Support Fee #
1111111111111111111111
Permit Valuation ( 03CiL) # 1111111111111111111
$ SAC ■
Permit Fee
$ Water Meter Size 5/8", 1";
Plan Check Fee
State Surcharge
$ tJ3 Pressure Reducer
"-
Plumbing
$ Sewer/Water Connection Fee #
Penalty Permit Fee $ Water Tower Fee
$ Builder's Deposit
Mechanical Permit FeeSewer&Water Permit Fee $ Other �
Gas Fireplace Permit Fee $ TOTAL DUE _
� Recei.t No. ��__
This Application Becomes Your Building Permit When Approved Paid li• � � B ��1
Date J
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 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
ucd.
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372