HomeMy WebLinkAboutBuilding Permit 10-0551 D E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /�
ADDRESS ' �19�-P � � v�,_
OWNER CONTR.
PHONE NO. PERMIT NO. t O^ L j S�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ MSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL 0 GASIINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
/
WORK SATISFACTORY, PROCEED
CORRECT AC O AND PROCEED
❑ CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
oF p�,' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�• � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" � AND UTILITY CONNECTION PERMIT
��A'NES�
I. White File pERMIT NO
2_ Pink City �D � l /
3. Yellow Applicant •�.-�
Please e or rint and si at bottom
ADDRESS ZONING (ott�ice use)
15665 Skyline Avenue NW
LEGAL DESCRIPTION (off'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Larry Herrmann (Phone) 952-233-2881
(Address) 15 6 6 5 Skyl ine Avenue NW
BUILDER
(Name) Atlas Foundation Co (Phone) �63-428-2261
(ContactName) Mike Moeller � (Phone) �63-428-2261
(Address) 11730 Brockton Lane North Osseo, MN 55369
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding
❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection
� M�sc. Foundat i on Repa i r PROJECT COST/VALUE (excluding land) a 3 0, 4 2 0. 0 0
I hereby cer[ify that I have furnished informadon on this application which is to the best of my l�owledge rrue and correct. I also certify that I am the owner or
authorized agent for the above-mendoned property and that all consnuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the propertv to perform needed inspections.
X �,�� � ��� �' N/A, Specialty Contractor 21 June 10
Signature Contractor's License No. Date
Permit Valuation � o o � Park Support Fee # $
Permit Fee $ (� 1 Sp SAC # $
Plan Check Fee $ (�,� � Water Meter Size 5/8"; 1"; $
State Surcharge $ �, � Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE �� �� �, Z!�-, � � $ 371�• ° l�'g
This App on comes Your Bnilding Permit en A proved Paid �. < Recei t IvO. �
Date 2 � � B
( ZZ (o
Building Official Date
This is to certify that the request in the above appGcation and accompanying documenu is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consuuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTfON
SITE ADDRESS 15��.5 �KY'�.tN� �v� 1�.�•
TYPE OF WORK �'ov���-� �� ��'P.o.-i2
USE OF BUILDING �s �'
PERMIT NO. 1d. S�/ DATE ISSUED l'o � �o
BUILDER �T�..�ts ��Mo.�a�"�-� C�c�. PHONE # �6�•�{ZS•ZZ��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING . ��,,,,_, � .a�,,,��
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL Pr�ovFo� a�a ,R,m 3Z� i/
R��oR.OSFI�`thL (Z�t�2;�" V�R�F�N(v tNSrTAt.t.T1oN
FOR ALL INSPECTIONS (952) 447-9850 �