HomeMy WebLinkAboutBuilding Permit 10-0586 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED G(1 /
ADDRESS 2� J,d �G�+�+�b� R��
OWNER CONTR.
PHONE NO. PERMtT NO. l �- SgL�
❑ FOOTING � PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
J� FINAL ❑ PLUMBING FINAL O GASLlNE AIR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: ��
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ACTORY,PROCEED
ORRECT ACTION AND PROCEED
❑ CORRECT WORK, _ SPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 447-98 THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETYl
fHSNOri
o � p�tt CITY OF PItIOR LAKE B[IILDING PERMIT, Date Rec'd
h � TEMPORARY CERTIFICATE OF ZQNING COMPLTANCE �-7 Z��
.. � . _ AND UTILITY CONNECTIUN PERMIT �
U �
'y/ 'St' I White Fle � /� . /� V/
""' :. r��: a� P�RMIT NO. �-,
1 Yellow AppliaM �./
Ptease or dnt and si n at bottom
ADDRBSS � n � � � � n � � ZONING (otttce uu)
� ��/
LBGAL DESCRIPTION (of�ice use only} �
LOT BL�CK ADDITION PID
OWNSR / � - q
{Nam�e) � e� (Phane) / � w ��� + ���' l
(Address)
BUII.DER
(Company Name} (Phone)
(Contact Name) (Phone)
(Address) �
TYPE OF WORK ❑ New Construction Deck ❑Porch �Re-Roofing �Re-Siding ❑Lower Level Finish ❑ Fimplace
OAdd'eGan OAlte ' ❑Utiiity Camecaon
CODE: ❑I.R.C. ❑I.B.C. � Misc.
1�+Qe of Conshuction: I YI III N V A B
Occupancy Group: A B E F H I M R S U pROJECT COST/VALUE $
Diviston: 1 2 3 4 5 {excluding land)
i hereby certify that [ have fumished'enformation on this applicatton which is ro the best oFmy knowtcdgc qve and oomect. 1 also ceRify that 1 am the owner ur authodzed agcnt for Ihe
above-mentioned prope�ty and that ail mns�cuction will confarm a aU existing state and IocaE laws aad will pmceed in accordance wid► submitted pians. I am aware that the bui�ing
�fi'icial c permit for just cau n, J hcreby agree that the city otliciat or a daignee may enta upon 1he property �o perform necded mapections��
X � � — Z c�
! • �' Signaturc Contracwr's Licease No. Date
Permit Vatuation � OO � v v Park Support Fee � S
Pcrmit Fee ' � � g �- SAC # S
P�an Check Fee � 5 ��?� Water Meter Size S/8";1"; S
State Surcharge S �--� Pressure Reduc:er S
Penaity $ Sewer/Water Connection Fee # S
Plambing Permit Fee S Water To�ver Pee # S
Mechanical Permit Fee �� Buiider's Deposit $
Sccver & Water Permit Fee S Other $ �
Gas Fireplace Permit Fee S TOTAL DiJfi S`.¢. '7� �
This Ap t B mts Your Butlding Penntt ti en A proved Paid ,/� Rec ' t No. Q I
D8[C , � B j
Z- '0
uitd' ORicial Date
Thu is to certi thc cst in tBe above appiication and accompanying docu ats is accardante with the City Zaning Ordinance and roay procecd u rcqutucd. ?his dUCUment
whcn si�ncd e ity ncr rnnstitutcs a temporary CertiFicatc of Zaning co plian and allows conswctEon to commcnee. Befure uavpancy, a Ccrtificate uf Oaupaacy musl be
isssed. —'—�
7 L p ;
Ptanning Di - ate iel Condilions, if an
2 ur notice for al ins�ections (952) 447-4850� iax (952) 447-4245 . �
4646 Dakota Street Prior Lake, MN 55372 �
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ��7 �W� ���'� �
TYPE OF WORK � C
USE OF BUILDI�IG �
PERMIT NO. t•�� ATE ISSUED 7 - 2 - 1 v
BUILDER U�� %� PHONE # ��Z, 382. �OS�
NOTE: THIS iS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1 ECTOR oa�
FOOTING �
PLACE NO CONCRETE UNTIL ABOVE A BEEN SIGNED
FINAL L � 0 ��,� �
- FOR ALL INSPECTIONS (952) 447-9850
.