HomeMy WebLinkAboutBuilding Permit 10-0682 TE TIME
CITY OF PRIOR LAKE
INSPECTiON NOTICE SCHEDULED « � t�
ADQRESS � � � � � / ���'�aCJ (/��
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OWNER CONTR.
PHONE NO. PERMIT NO. "� '�� Z—
O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
❑ FRAMlNG 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HCIOKUP ❑ FIREPLACE FINAL
�FINAL p��K O PLUMBING FINAL ❑ GASLINE AIR TST
❑ S{TE INSPECT{ON O MECH FINAL 0
COMMENTS: � ° - 1,�, �.-�-.�
WORK SATISFACTORY, PROCEfD
❑ CORRECT ACTION A , PROCEED
❑ CORRECT , C FOR REINSPECTION ERING
Inspector: OwnerJContr:
CALL FOR THE NE SPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL H,EALTH & SAFETY!
WSNOTI
TE TIME
CITY OF PRIOR I..AKE —�� �_
INSPECTION NOTICE SCHEDULED !�
ADDRESS C � ��� �j�
OWNER CONTR.
PHONE NO. PERMIT NO. (�� � �� �
FOOTING p�" ❑ PLUMBING Rt ❑ EX/GRAD/FILLING
❑ FOUNDAT{ON ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WA7ER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP 0 FIREPLACE FINAL
❑ F{NAL ❑ PLl1MBING F1NAL ❑ GASLINE AiR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: � ��- ' O8 �"
•4sc
�ORK SATISFACTORY, PROCEED
❑ CORRECT AC710N A PROCEED
❑ CORRECT W K, A l FOR REINSPECTION BEFORE COYERING
Inspector: � Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HF.�ILTH & SAFETY!
rNS�ror,
TE TIIAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �D I �_
ADDRESS � � � �� �(Z�'_�'� ��
OWNER CONTR.
PHONE NO. PERMIT NO. �. ���'�, � Z
❑ FOOTING ❑ PLUMBING RI O EX/GRADlFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
��INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TS7
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�
❑ WORK SATISFACTORY, PROCEED
CORRECT ACTION A PROCEEC�
❑ CORRECT W C FOR REINSPECTION BEFORE COVERING
Inspector: Ow NContr:
CALL 447-985 H EXT INSPECTION 24 HOUR3 IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �c SAFETY!
�vsnori
o � PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ����: �w. � TEMPORARY CERTIFICATE OF ZONING C4MPLIANCE
�' �`� �` ; AND UTILITY CONNECTION PERMIT O!/ /p
V � �7
M��'NES��P i wn��e Fde PERMIT NO ///
2 Pmk City � �• /� ��
3 Yellow Apphcant �/
Please e or rint and si at 6ottom)
ADDRESS ZONING (o�tice use)
� � � �o � Cl�r�l �,�. =osZ C,g.,t� �"
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � �,�,�c�
(Name) �'}d < y T� ; a; • Y � �i l �o /�'� �r.�s0 Y,r►r (Phone) S -
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(Address) ��p/SCa �j e,Q �,� �inR � �7 .�5�3�2
BUII.,DER
� (Company Name) ��G sic f G�oM , �"1 (Phone) '�P� � T— � o
(Contact Name) �/��/�� �G�i •�!�'a�/' (Phone) -
(Address) ��j S'o �r /.1� : ai2,:v.Z L,�p� S� ..
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Altera ion ❑Utility Connection
CODE: �R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III N V A B pROJECT COST/VALiJE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (exciuding land)
1 hereby certify that I have fiimished mformahon on thu apphcahon which is to the best of my knowledge true and correct I also cert�fy that I am the owner or authorized agent for the
above-menuoned pro,pKrry d t ll constructwn will conform ro all existmg state and local laws and will proceed m accordance with subm�tted plans. I am aware that the buildmg
officiat can rev �fii pe it J t c se Furthermore, I hereby agree that the c�ry official or a designee may enter upon the property to perform necded t9rpcchons
x X � i�� ;�� f. o
� 1 �--- /�"�, � ,
Signature Contractor's License No. Date
Permit Valuation � 0 p �� Park Support Fee # $
Permit Fee $ � �, . SAC # $ �
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ � 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 ��(� � b $� �� 5
This lica ' n e omes our Building Permit When A rov Paid � 1 . � Recei t
Date '� B
, 8 ��. O
tuld i� � i a! Date
This is to cert that the quest m the abo0t applicanon and accompanymg documents i n ac rdance with the Ciry Zonmg Ordmance and may proceed as requested Th�s dixument
when signe e Ci lanner canshtutes a temporaty Cerrificate of Zomng wmpLan and llows construcnon to commence Befure occupancy, a Certificate of Occupancy must be
issued
J p .� O
' ector Date Special Conditions, if any
4 notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
�
i
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS c�� so Arc.c�p+,4
TYPE OF WORK o��� �.�c.K
USE OF BUILDING � c �
PERMIT NO. /C). (o �, � DATE ISSUED � �r �o
—
BUILDER t�o�� ( �Z��,,f, Ty l`1�♦av,�►c ��a.�.0 PHONE # ��! - S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING / /�j
PLACE NO CONCRETE UNTIL ABOVE HAS BEE IGNED
FRAMING . , q �
FINAL � ll1 /�
• FOR ALL INSPECTIONS (952) 447-9850