HomeMy WebLinkAboutBuilding Permit 11-0018 DA E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I r
ADDRESS t ��1� �S/Qn , �/ _
,
OWNER CONTR.
a
PHONE NO. PERMIT NO. �
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILL.ING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATIQN ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FJNAL ❑ P�UMBING FINAL ❑ GASLINE AIR TST
❑ SITE tNSPECTION ❑ MECH FINAL ❑
COMMENTS:
G �
�WORK SATISFACTORY, PROCEED
1 �
❑ CORRECT tON AND PROCEED
❑ CORRE W K, GALL FOR REINSPECTION BEFORE COVERING
I nspector: Owner/Contr.
CALL 44 -9850 FOR THE NEXT INSPECTIOIV 24 HOURS IN ADVANCE.
CODE REQ(JIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
rnsxon
,
�
, �
Q �--��
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�, ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (lec. I/31.o
. � AND UTILITY CONNECTION PERMIT
U ` = t�j
M�n'NESO�P I Whire Fde
? Pmk �,� PERMIT NO. ( l U � 8
3 Yellow Apphcant
Please e or rint and si at bottom)
�- ADDRESS ZONING (otl'ice use)
� � Z<-8 - �' ,` �- 12�,
' LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
�t OWNER p. /
(Name) l� � C � �- �u��� �/�►��� (Phone)
(Address)
y C BUII,DER L L
(Company Name) / ��� �i✓O��OrhS (Phone)
(Contact Name) Crc�i c, j����I�GI��•yL (Phone) �Z' � ^'����
(Address) � (� L �'r� c D � U1 , �� �/�, t/ ' !
`fl� TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace
❑Addinon �Alteranon ❑Utility Connection I
CODE: �I.R.C. ❑I.B.C. �N1�sc. ,1 �A �?.�
Type of Construction: I II III IV V A B pROJECT COST/VALUE $ 3�ao o. �
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
I hc�reby certify that i have h�rnished mformanon on th�s applicanon which is ro the best of my knowledge true and correct I also cert�fy that I am the ownrr or authorizcd agent for the
above-menhoned property and that all construcnon will conform to all ex�stmg state and local laws and will proceed in accordance wrth subm�tted plans I am aware that the buildmg
official can revo�crthis permit for �ust cause Furthermore, I hereby agree that the aty official or a designee may enter upon the property to perform needed �nspections
� X �463U�8`'� t-3
S�gnature Contractor's License No. Date
Permit Valuation � �� .,r Park Support Fee # $
Permit Fee $ 8 � SAC # $
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
State Surcharge $ 0 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 � I $ r�. '
This ic Becomes Y�ur Building Petmit n App oved Paid . Re ei t NO. �_-+
Date , ( B
l /O /
Buildm�� Ufticial Date
This is to cert�fy that thc request m the above appl�cat�on and accompanymg documents is i accordance w�th the Gry Zonmg Ordmance and may proceed a, requcstcd. This document
when sig the ity Planner consututes a temporary Ceraficate of Zonmg compl nce a d allows construcnon to commence Before oceupancy, a Cernfic e of Occupancy must be
issued �
D II
Planning Date Special Condidons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1'S2 (08 ,.�i� t+ �'or.� �p
TYPE OF WORK �4�.�r o�
USE OF BUILDING t2�s
PERMIT NO. � t- D� I� DATE ISSUED I ro �►
BUILDER _ SrAc r�s� f��owo�-��s PHONE # l�I2 • 36 - e�13r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1.= L..� G'� i'� l G/�. L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING i �� «
FINAL
FOR ALL INSPECTIONS (952) 447-9850
, � .
r . �.