HomeMy WebLinkAboutBuilding Permit 11-0135 DATE TIME
CITY OF PRIOR LAKE 'II
INSPECTION NOTICE SCHEDULED `/2o /t(
ADDRESS 1 5 S 5
OWNER CONTR.
PHONE NO. PERMIT NO. /1 — (
❑ FOOTING ❑ 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 ❑
COMMENTS:
/
Q
WORK SATISFACTORY, PROCEED
❑ CORRECT A .TION AND PROCEED
❑ CORRECT A. 7 , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL • 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
0 RI r,.4' CITY OF PRIOR LAKE BUILDING PER DT, Date lee' d
t ;( ti TEMPORARY CERTIFIC ATE OF ZONING COMPLLAa'CE 3 1 I I
1 v;. 4 f U AND UTILITY CONNECTION PERMIT
4 -�
N s° , � - i , WILT
2 Pink !It), FER PERMIT SO. • 1 135
5
3. "d'aa. ,. :x:irert:
please rrpe or print and sip at hotter, ZOl\' "dG (a!£x ,19,0 A ]TRESS c t I
LEGAL DESCRIPTION ( o f fi c e 'xsc only)
I LOT BLOCK ADDITION PI)
OWNER r �7
(Phone) '5
(Address) l 5‘ 6 i u t '_ f - 2 CE' 5 7.1,
(Company _ ,e , ii�� a ! S (Phone) 4 `r'` j 7 �' i � )
(Company Name) ih �° S -1-01.--4.4161:2_0
(Cor.,tact Name) Da n 6- !'O kJ S (Phone) 6 6 l �,2 e) + 3 . k f405
(Address) 5u C /'} a h f t e, a l. A .` -a"• /1 ' 10.5
'I'YPBOFWORK a NewCoristrttction 1yek CPorch :Re- Roofing ❑Re4 "d jl.nwerLerclFinish ❑Fireptacc
❑Addition CIAtxratiz^ ❑Utility Connection
i a I l - 14'x° r' , 4G' /:-tom
COME.: DLR -C, ❑LB.C. Esc: � r
Typo of Coxistroctiezu I 11 111 IV V A 13, PROJECT COSTIVALUE ./1-' -, ,
Occupancy Grout: A F E F R I M R S U
Division:
1 2 3 4 5 (CxcI7sding laud)
i I hettba certify :hat 'haw furnished inf :vat:on on thus appbcarion whin Is t_ the b t of my nowle -gc irsc and etc[ 1 else cett 1ti Mat I. nri the m yna or authorized agehr fo the
aaove- iaer.:ioned property and that an ens ru ^.on win combat to all =sting- state and Iectil laws and wr nt cccd in accordance wit submitted plo. s, t am aVirZt that :ha tr:itding
vf5r'.al can revoke this pc-rtit fo~ ust caixsc. Fcnhc^^arc, i hereby aipe
ethactile city ofneial ar a dc5i2ncc may tr ue oCen toe "TCrtItY ea PelfOri �' nett! irimar.;oas.
X r r. Y - De,C
/ Si na ur e CntltraCtDI Lit^ LSC Nc.
permit Valu3tiore
r iarkS.xwot F. >~ -1 S 411 SAC ii I
,, �ermtt Fee O -
Plan C'r e k Fee S _ Water Meter Size /8'; 1
�-- � pressure. Reduce: ' $
State Surcharge $
Sewer/Water Connection Fec # S _
Pera.y
Watt's Tower Foe 4' S
Px +�mtw ing Permit Pet $ , rr
Mechanical Permit Fee $ Build es Depr:sit S
Sewer & Water pc-r Zit Fee
Other S
TOTAL 131.1B u 3 • 4. I
Gas ise?lace Fermi[ F'w 3 I 41.75
This Application Becomes Four Buis din! Permit 'Whet) Apireowed F aid 4 OW Receipt r �
Late ► By MM
l3ai' ding Offiesal n�e
D I
signed h :s by y the t`c amity Planner re es. In the a'rrtvc aPPReatir,.r a .d act, t sa.hvirig dezumenn :s in ate: rriance with the C:ty Zoning Crd;naztec and may orated a rel aegt d f+is document
when e '1! .
a cGYsatitutcs a tc:rgcsary Cc- .ri£cate of :^.r. -cg rn..;vlt;u+ee and allows construction to tamtrence Before oche: ^snz, a Ce..- [:care or Cs c:pa.'sn• r..vice be
i,:ed. _ i
— Planning thYC.i)f h7 Cafe 5:52)447485% Spcoal "crtditinns :Fatti+
24 War notice for all inspertana - 9 fax (9 2) 447 --t245
460 Dakota Street S,E, Prior Lake, wicnncsnto 552:2
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