HomeMy WebLinkAboutBuilding Permit 11-0091 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED _ _ L?
ADDRESS 1 — 5 p, 12) /
OWNER CONTR.
PHONE NO. PERMIT NO. 1 l — C 967) c Z
❑ 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:
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111111174MIVRA
5 i�o ,tee
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
� , i PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
_ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z. 14, /1
y AND UTILITY CONNECTION PERMIT
M•A'NEso I. White He
2. Pink city PERMIT NO. `/ , 0 0 7 /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) a i6 l - Cf4:2". (Phone) - %2 - 3�err - - - 5;2 �.�
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection / v
❑ Misc. �4D0 8i9s►'1 Acct for 1, GJ /NHS
CODE: DI.R.C. ❑I.B.C. AV, / ��.�
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5 1
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner to authorized agent for the
above - mentioned property and that all construction 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 revo , perm t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X , , —/O //
Signature Contractor's License No. Date
Permit Valuation /6 0 0 , 0 0 Park Support Fee # $
Permit Fee $ 3‘ 7- SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ , 5'0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
, Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
—_
Sewer & Water Permit Fee $ Other 1'
Gas Fireplace Permit Fee $ TOTAL DUE 3 31 2 F$ L L'�
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This A 4 ti. 4 : ecomes Your Building Permit Wh: Ap s oved Paid 75.27 Receipt No. 4, 74:721 ii /�//�■-
� - Date Z,/Z/I B y �(f-� ,
1:'I� � l
Bud t _ _ ' icial Dat
��IL Z ZC 1/
This is to certi th t th • request in the ov • .lication an. accompanying dock 7 .rdance with e City Zoning Ordinance and may proceed as requested. This document
when signed `i t.4 i PI ner co e . rtif • te oiling comp Ilows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. / ,,/,,,_-� ' j i
Planning Director 11 • te Special Conditions, if any
• our notice for al inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
P R I R LA K E BUIILE AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /5z37 F -/' - /e_e 4/2
NATURE OF WORK G- O(4J2k -- L6i/
USE OF BUILDING
PERMIT NO. ` /'- D / DATE ISSUED Z- - f O-
� (Z 3 z8
CONTRACTOR 2.-/9&.-50A/ PHONE 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
WM. 1 1
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 6 t IZZin
INSULATION J1313/
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILDING
ELECTRICAL
M
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850