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HomeMy WebLinkAboutBuilding Permit 11-0152 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ZS ADDRESS S �� L ��Yj � ' � OWNER CONTR. PHONE NO. PERMIT NO. ��— / S Z- ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL O PLUMBING FINAL O GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: 'Q � �S WORK SATISFACTORY, PROCEED ❑ CORRECT AC AND PROCEED ❑ CORRECT O , CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED `1 �� ; Q�? �, ADDRESS Z Z C.�,�� � �Y OWNER CONTR. PHONE NO. PERMIT NO. ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION m ❑ MECH FINAL ❑ t !����)4-�L COMMENTS• :� . ��, V Y� �z- F U� ��� -ti�, ��.,�`�� t r. i 5 Lc,�n T7 ,�%e ���- �� r:c � a.^-��-t- (� �st2.�1-��,�, � .�i �'littZ� ( S � �� [ � ����rL.''►-'� ,� � , � G'' " � 1 't"' � �,� �G:� �' � �% /�,�� l �= � ..� � ��. ✓�7� � v � .� � :..,y -��_. � � �-` � - �� �— �,, � � , � ��- ' , � . �;, _ �''- -- , '" ; z �� - �., � e, _ _ ._... ,, �.,,+� . , ` �..:'-� � ;,':.i ° 1 -='' � � /),.n�. ._, T ` ( f � f� ^ ��� �� ` ., .�..„, ;�" -f : i �. � � ' � � � �- r � -'::,:; G:, . ; iL� ; i '�: �' ,7- � `,.. `'? .�-�. ;� � / �✓� ./-,� f--� _ - . ' � �/ —y'f � �> ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED j�( CORRECT O K, CALL �OR REINSPECTION BEFORE COVERING � � / Inspector: Owner/Contr: CALL 447-9850 NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 4 PR �--� –�'� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �' /�� \� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE "'',/ l�/ AND UTILITY CONNECTION PERMIT � � E S�� I. White File � Z P; �, �;,, PERMIT NO. (�� r� Z 3 Yella�. Applicani (Please tv e or rint and si n at bottom) /����5$ Z�NIN�i (ofPice use) s�a � ,� a ca� �� � LEGAL DESCRIPTION (oflice usc only) LOT BLOCK ADDITION PID OWNER.__, G! p'Z' a f3r (Name) .� n b►v� �- ��. R �A O �r'� w�s� � � (Phone) Y�,=p�� .Z (Address) SA.�.� BUILDER (CompanyName) �:�,�g��o•.� ��S-l��/i�Ps.1 (Phone) 7�i3 Qyy=S(7Gf (Contact Name) �2 � Ce � 1 w� (Phone) �L S ' c?3 � �! S3 (Address) s'G2/ �° �''� AJ£ (J �� wtav ri� N� • TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition �Altcration ❑Utiliry Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ ��i � d��� 4 l Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge vue and correct. 1 also cer[ify that 1 am the owner or authonzed agent for the above-mentioned property and that all construction will conform to all existing �tate and Iucai laws and will proceed in acmrdaoce with submitted plans. I am aware [ha[ [he building official can revok ermi[ for just cause. Furthermore, 1 hereby agree that Ihe city official or a designee may entee upon the property to pedorm �eeded inspec[ions. X �� - __.—. --- 1 _� � �_—__ 3 ' / S– / / Signature Convacror's License No. Date Permit Valuation — Park Support Fee # $ 9 �.� . t.� .� �.` Permit Fee $ � � ; SAC # $ Plan Check Fee $ `-`q, y J Water Meter Size 5/8"; 1"; $ State Surcharge $ .j — Pressure Reducer $ Penalty $ �.� � y� 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 $ c� ' L � G� This Ap lic ion Becomes Your Building Permit When Approved Pald y I 2 ,<�{ _i ]zeCel t NO. �= � � Date '� E�, f � B �--i (� .3 /c4 �1 Buildin � • I Date This is [o certify that the request in the above application and accumpanying documents is in accordance with the City 7_oning Ordinance and may proceed as requested. This documen� when signed by Ihe City Planner cons[i[utes a �emporary Certificate o( Zoning compliance and allows consvuction ro commence. Before oceupancy, a Certificate of Occupancy must be issued. Planning Director Da�e Special Condi�ions. if any 24 hour notice for all inspections (952) A�7-yR511, fax (952) aa7-4245 464G Dakota titrecl S.F:., Prior Lakc, Minncsota 55372 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS �z Z q c'A.��, C ( Eza, � TYPE OF WORK ,A�,-�.�e..�,.�,�izE� wa�r��- ����E —� USE OF BUILDING R�s ��,� PERMIT NO. �t - I Sz DATE ISSUED 3 �s �� BUILDER L=NO sm_o.� RcS r��-r-��� PHONE #��3• a 35 -s� 3 3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE rN s� ��r � o..( R. /�. 3 �� � r PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING ���� - 5E� Cq r ic�., S Erc�2�� ,��,vrs . � , ,, FINAL FOR ALL INSPECTIONS (952) 447-9850