HomeMy WebLinkAboutBuilding permit 10-0072 DATE TIME
CITY OF PRlOR LAKE
INSPECT{ON NOTICE SCHEDULED t U
ADDRESS �c7�cSZe �
OWNER CONTR.
PHONE NO. PERMIT NO. �C) � 7 Z
O FOOTING ❑ PLUMBING RI O EXIGRAD/FILL{NG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMlNG ❑ WA7ER HOOKUP ❑ FiREPLACE Rf
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERINCa
Inspecto : OwnerlContr:
CA - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH dc SAFETY!
uvswan
oF PRl�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� , � ° ;, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z � r � • ( �
� �� � �' � AND UTILITY CONNECTION PERMIT �
v `, �
r�
��n'NESD�P ^ Wh�re Rle pERMIT NO.
_ Pmk Cny � A � � �
3 Yellow App6cant v
Please e or rint and si at bottom)
ADDRESS ZONING (ot�ice use)
3 0 S(� � o b C,p�,-� 1 ro�,�� � IJI� ~ pr� a� �--o�(c, V�'� ��� 3�' 2
LEGAL DESCRIPTION (office use only)
LOT BLOCK. ADDITION PID
O aWNER_M 1L�A�.I '� �t�.)Y� �� bo�-�C�V\ (Phone) �s2 233 IC7��
r►�
(Address) �j� 5 (p � b 0.� � �"V — k�. (��(rt 1�
BiJII�DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construchon ,aDeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level F�msh ❑ F�replace
❑Addidon ❑Alteration ❑Utility Connectton
CODE: �I.R.C. ❑T.B.C. � Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE $ ���' �
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
I hereby certify that I have fum mform n un applicauon which is to the best of my knowledge mie and correct I also ce�vfy that I am the owner or authonzed agent for the
above-menuoned property and th all co 1 mnform to all exisnng state and local laws and will proceed m accordance with submuted plans I am aware that the buildmg
official can revoke this permit for e Fi or , agi'ee that the city ofFicia! or a designee may enter upon the property to perform necded mspe ions
x
'Z •i 2oiv
Signature Contractor's License No. D e
Permit Valuation ,4 p�� �. Park Support Fee # $
Permit Fee $ 3 ,. SAC # $
Plan Check Fee $ �. G Water Meter Size 5/8"; 1"; $
�
State Surcharge $ 2 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 DLTE $ 1'� ���
This pplic n Becomes Your Building Perntit When A proved Paid 5 Recei t No.
� Date 0 B
Z �� o
Buildui � Ufticial Date
This �s to certify that the request m the above applicanon and acco any g documents is m accordance with the Ciry Zoning Ordinance and may protted as requcsted Th�s document
when signed the C Planner constitutes a temporary Certificat of Z nmg compliance and allows construcnon to commence Befure occupancy, a Certificam of Occupancy must be
issued
Z �� �
D' tor Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
A
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 305� ��g�.,4.�
TYPE OF WORK D ��c
USE OF BUILDING ' f� t2-
PERMIT NO. t b• 7 Z DATE ISSUED Z- �� �o
BUILDER 1 �1 ctl�L �i�tt Sor�i�c� PHONE #�t52-23 3-►o/�'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE {NSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN CTOR DATE
FOOTING t ��
PLACE NO CONCRETE UNTfL ABO HAS BEEN SIGNED
FRAMING 4� �-- 2 � 7 '� 2
FINAL �o � 67j
FOR ALL lNSPECTIONS {952} 447-9850
. -
.