HomeMy WebLinkAboutBuilding Permit #13-1022 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I5 I
ADDRESS , �����
OWNER CONTR.
PHONE NO. PERMIT NO. ��-- �d2„�
❑ FOOTING ❑ PLUMBING RI ❑ EXJGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�€INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
`'O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�ORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSNOTI
oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE G� ��. /3
� � AND UTILITY CONNECTION PERMIT
~ ��vrveso��' i. wn��e File PERMIT NO . °� �
�„3 �'S� ?. Pink fity /3 / Q ('
: Yellow Applicam �
Piease or rint and si at bottom)
ADDRESS 1���� �j r � ` ° �'y�� � � a �a SS �� ZONING (u�sce use)
a� %� '1 i/ �� �
LEGAL DESCRiPTION (oflFce use only)
LOT BLOCK ADDITION PID p� ,j � ` 7�
OWNER � � /
(Name) TJ K,' + 'E' � o� r/' '" L-- P/ �� (Phone) % �o� ` � �� `, � c� �� J
(Address) � �o � ��1 c� ��l/'"��I 4 4 I :� S � . o i'� � 1�,� �,� � `
BUII.,DER /
(Company Name) �I n vV1 �P �7 t� ln P VQ (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction �'Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition QAlteration ❑Udtity Connection
CODE:� I.R.C. ❑I.B.C. ❑ Misc N � �/��
Type of Colistruction: I II III N V A B PROJECT COST/VALUE S ��UL�s t7t�
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
i hereby certify that [ have fiimished information on this appiication which is to the best of my knowledge true and correct. f also certify that I am the owner or authonzed agem for the
above-menuoned proprity and that struction wil! wnform to all existing state and local iaws and will proceed in accordance with submitted plans. I am aware that the buiidmg
ufficial can revoke this permit for st caus . F he re, I hereby agree that the city officia! or a designee may enter upon the property to prrform necded intipcctions.
� X � ��,� c -�
Signature � Contractor's License No. Date
Permit Valuation 2 O 0 G. �(� Park Support Fee # $
Permit Fee $ �3 -75 SAC # $
Plan Check Fee $ �,!�� Water Meter Size 5/8°; 1"; $
State Surcharge $ � d � Pressure Reducer $
Penalty $ 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 DLJE q $ �Zz �(D
This ic n Bernmes Your Building Pern�it m pproved Paid Recei t NO. (�
� Date B
�
ildine O D te
This �s to certi hat t� quest m e a tLappiicat�on and accompanyin� docume s is in ordance with the City Z,�ming Ordinancr and may proceed ac requcsted. This ducument
when signed he lanner constitutes a temporary Certificate of Zoning com iance a allows constructicm tu commence. Befare ixcupancy, a Crruticate �>f Occupancy must be
isstted.
�� J
Director te Special Conditions, if any
24 hour noticc for �II inspections (9S2) 447-985p, fax (952) 4A7-4245
4646 Dakota Street Prior Lake, MN 55372
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.. , , . .: � � n � N ..,b x H " .i Y r. ; � u BU�L-DIN� �►ND INSPECTION
SITE ADDRESS �GG7� ��1�TGIr�� P��
TYPE OF WORK
USE OF BUILDING ����'
PERMIT NO. I�LO Z'Z, DATE ISSUED 9�•
BUILDER L�' PHONE # C/"�• Z$Z. �GSD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING /' /Z
PLACE NO CONCRETE UNTIL ABOVf H S N SIGNED
FINAL
r FOR ALL INSPECTIONS (952) 447-9850
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