HomeMy WebLinkAboutBuilding Permit 11-0146 (2) ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � Z. I�
ADDRESS � 7• I i _`�c 1 � ��/2.
OWNER CONTR.
PHONE NO. PERMIT NO. I I �O
❑ FOOTING ❑ PLUMBING RI O EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL
}� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
�❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: ��[}-ls�5 � �t�� �/[� _
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Ow dContr:
447-9850 FOR TH INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
PAT� TIME
CITY OF PRIOR LAKE ' ,
INSPECTION NOTICE SCHEDULED � 'l,�f �! �
._.�
__ _,)
��
ADDRESS ,� c - � �. �� �J �'I'��'�'`ti �' i � ��
OWNER CONTR.
PHONE NO. PERMIT NO. �/ � V j��
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL � � ❑
>fJ�(/
COMMENTS: �, �,�� � �/"��- �i� jCj;v�.���s
��iV��- - �� ` ��-- /�� �✓tii �.-�,� �'
f? � � � �
'_ � /�� /'�' �X / S�T'i�� ��7T /v'S � ` �-�-�� ,.i
��' L/-�=' c��. ,� � � ��z,r �r.�
r > � E;�i,�'�- T ,gv�
'�, � r
r �, �--
L-ti-�cic.J �� ' l� � � ( �d •(J,.
-1:'!� 4' - �' �-�.
❑ WORK SATISFACTORY, PROCEED
� CORRECT ACTION AND PROCEED
�❑ CORRECT W RK� LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOT/
oF prti CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ' y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �����
� = AND UTILITY CONNECTION PERMIT
v ; z,
M��'NES�'CP �"-�,�„ F���` pERMIT NO. l
_ ���� c���
; vru�,,, ,��,�,r��:��,�
(Please e or rint and si n at bottom)
ADDRESS ZONING ���ra�< <�5�>
�,�I 13�.� - C�r' 1`'',`�
LEGAL DESCRIPTION (ofFice use only)
LOT BLOCK ADDITION PiD
OWNER
(Name) ��� �-E'`''�`� (Phone)
(Address)
i BUILDER 1
P Y ) �., c��or ,> > � � � � - 763 �-- �{ Zy -� y �C/
(Com an Name @ � S�"�-� +�-'� Phone
� (Contact Name) ��'b� ►�c��,�•� (Phone) � 1 Z — � 1� — 1'� z-
(Address) � � C �-. '� � � � � � J � I�e ���
TYPE OF W�RK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofin ❑Re-Siding ❑Lo��er Level Finish ❑ Pireplace
❑Addition ❑Alreration ❑Utility Con��ecuon
coDE: ❑i.x.c. ❑r.s.c. M�,� __��IzO DP�MPc R-�I��l(�,__
� _ -
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) I
� Division: 1 2 3 4 5 ,
I hcrcby ccrtity that 1 havc '�d mfurmation un this applicatiun which is to thc hcst uf my knowicdgc true and cnrrcct I alsu ccrufy tliat I am du owncr or authurizcd agcnt tbr thc
� abuvomcnuoncd„�r�er�scrry and tha all cunstruction will confi�rm tu all csisting statc and lucal laws nnd will prucccd in accurdancc with submittcd pinns I am awarc that thc buildmg
' nt7icial ca oke this perm�t fyF ust cause Furthermure, I hereby agree [hat the city official ur a designee may enter upon the prupeity to perform necded mspecuuns-
, X '����� �2�1 —� �y � 1 --
Signature Contractor's License No. llate
Permit Valuation �"� � Park Support Fee # $
Permit Fee � s � SAC # $
�
Plan Check Fee $ � �'" Water Meter Size 5/8°; I"; $
State Surcharge $ � Pressure Reducer $
� Penalty S 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 $
This Application Becomes Your Building Permit When Approved Paid R i[ No. � L
Date
� L3iiildinal��iicial I)atc
This is to certity that d�c rcqucst in thc abuvc applicanon and accumpanymg documcnts is in nccurdancc with thc Ciry Zuning Ordinancc and may procccd as rcc�ucstcd- This ducumcnt
when signed by the City Planner cunsntutes a tempurary Cer[iticnte uf Zuning compliance and allows cunstrucuon to cummcnce- Befure uccupancy, a Ccruticate uf Occupancy mus[ be
i itisucd
Planning Direcror Datc Special Conditions, if any
?�l hour noticc for all inspections (9S2) �1a7 �)850, fas (952) �1�7-�2a>
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �Z / / ��j2�/� ��---
TYPE OF WORK �U �i9�/`'1�I G�� /�fl"/��
USE OF BUILDING /L� ��f�—
PERMIT NO. (/. O/ ��o DATE ISSUED ,�, /�, L l
BUILDER �C/P�i�K- (��1� - �!/C� PHONE # 71�.�� ��-• y¢.�¢-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLAC NO CONCRETE UNTIL ABOVE HAS BEEN, SIGNED
FRAMING �IVS �L�1 T7 v ' . . ' � �' l�
, , ,�
�(-% : , "ri- ?� ',, ;
FINAL • 3 Z3 ��
FOR ALL INSPECTIONS (952) 447-9850