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 ❑
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
j�( CORRECT O K, CALL �OR REINSPECTION BEFORE COVERING
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/
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
�
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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 .
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,,
FINAL
FOR ALL INSPECTIONS (952) 447-9850