HomeMy WebLinkAboutBUILDING PERMIT 16-906 DATE ( TIME
CITY OF PRIOR LAKESCHEDULED 00
ADDRESS
INSPECTION NOTICE
ADDRESS ake,t-l)
- @" ,
CONTR.
OWNER 6' �0(0
PHONE NO. PERMIT NO.
❑ PLUMBING RI ❑ EXIGRADIFILLING
0 FOOTING 0 MECH RI 0 COMPLAINT
p FRRAAMMINGING 0 WATER HOOKUP FOUNDATION 0 FIREPLACE RI
0FIREPLACE FINAL
O INSULATION 0 SEWER HOOKUP 0 FIREPLA AIR TSL
❑ FINAL 0 PLUMBING FINAL
FINAL
❑ SITE INSPECTION 0 MECHt�,�} _ A COMMENTS: h'�Ilk
r
1
W RK SATISFACTORY,PROCEED
c\,-0
❑ RRECT ACTION AND PROCEED
❑ CORREC WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr.
Inspecto
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURSNdADVANCE.!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSNOTI
OF Pitis CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, 0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2
tv AND UTILITY CONNECTION PERMIT1 75: , 2
• j&es? 2
i. wane File2. Pink City PERMIT NO3. Yellow Applicantse type or print and sign at bottom) .
ADDRESSZONING(office use)
36 6°I 1i\i i l l OLo 3-adci frai 1 O kA:-q ufre s—}— R 1 s_
LEGAlD SCRIPTION(office use only)0 / / s/ .
LOT BLOCK ADDITION ki LZDGI ( A.
PID 2-5-10 ! Q2,3— 0
((Name) 2l C koro l-oul-e (Phone) e 12 11:10 99
(Address) Cik 1M,e,
BUILDER
(Company Name) 1 un (Phone) 163 _ 7 ' 3GJ LIL(Contact Name) FPI n)Y-C
0 I •P CO _ (Phone) /63- ,) f7-0101-1
(Address) 701 f«cu r AV'c, 0 tc 201 ,6 -01 C\-Q 1"1 V&k.11 , �1V S §
TYPE OF WORK D New Construction ❑Deck DPorch (Se-Roofing ❑Re-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DU6lity Connection
4iAu
LODE: [ 'LR.C.
e of Construction:❑LB.C. 0 Misc.
I II III IV V A B S j�q Apanty Group: ABE F HI MR SU PROJECT COST/VALUE $ 15i U 1 . V
xvision: 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 at 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 ke this permo just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _ — 13C6) 56.65 og - Q2 - 2016
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 3 t Water Meter Size 5/8"; I"; $
State Surcharge $ 'O r�� Pressure Reducer $
Penalty $ ' U Sewer/Water Connection Fee # $
Plumbing Permit Fee $ J Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ��l $ 1))4_w
This Application Becomes Your Building Permit When Approved Paid /D q V (/ Receipt No. (/J, 17)
(67 By� `�
t
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 w commence. Before occupancy,a Certificate of Occupancy must be
issued.
Ills
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake.MN 55372