HomeMy WebLinkAboutBuilding Permit 15. 0181 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED `)\e- L-11
'J /" e
ADDRESS S a 7 6,„Ae.t_. /r
OWNER CONTR.
PHONE NO. PERMI O. -1C, c/3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
c INAL 0 PLUMBING FINAL 0 GASUNE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
ty�-1 7-iJ KJ A S
VC, - .-P d-C) (^� >
XORK 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!
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o* PR/D CITY OF PRIOR LAKE BUILDING PERMITDate Rec'd`
TEMPORARYAND CERTIFICATE OF ZONINGONNECTION COMPLIANCE 2 . z.7 ``"
U ts7
4,NNEsett'
i. PinkWe FiCity Ct y PERMIT NO. /5 /0/'
3 Yellow Applicant
(Please type or print and sign at bottom)
ZONING(office use)
ADD SS
.3 O (green / /cJS Tr
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERI ' ( r , i t (.l.J b (Phone) �l D'Go&S.-- 9�1
(Name)
7l
- 4./
(Address) 4390 ������ t] "r��'t)-� ��
BUILDER (Phone)
(Company Name)
(Contact Name) (Phone)
(Address)
TYPE OF WORK El New Construction WIeck ❑Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish El Fireplace
['Addition ❑Alteratio ['Utility Connection
CODE: C. ❑I.B.C. ID Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2- 3 4 5
I hereby certify that I have htrnishe. infor 'ation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and tl Al c ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official hA'
ke t ; permit f. .t c ,.i • rmore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ..44.(‘'
Signature Contractor's License No. Date
Permit Valuation 4, DOOM 0 ° Park Support Fee # $
Permit Fee $ /0 3` 6 6 SAC # $
Plan Check Fee
$ `44 ,9� Water Meter Size 5/8"; 1"; $
State Surcharge $ Z . 60 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 I $ TOTAL DUE Gly 4- $/7/• yfr.5-
This Ap. • i. Becomes four Building Permit en Ap oved Paid / 7(, 95— Receipt No. `!2 I
I� Date ii, f,,, 15-- By ,...5a
But din_ fticta
t) Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the Cit Pia. -r const to temporary Certificate of Zoning compliance and allows constructi n to commence. Before occupant 1 Certificate i f Occppancy must be
issued. �Lt't1"iG(11 es °irwed— le t GG
_ �f-'`f-�.� lees G4.;,-,, ,c-09/06
4. tannin: 02'tor Date Special Conditions,if any
/ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
D
F
PRIOR LAKE BUILDING D�INSPECTION
INSPECTION
RECORD
SITE ADDRESS 390 ._ 4/4EE/..l IfE/CTN73 ��
•
TYPE OF WORK D
USE OF BUILDING �.�1�' �/C�
PERMIT NO. /S. /9 f DATE ISSUED Z. 21. CS
BUILDER (,e2M-1H"77,0 PHONEiJ (s/Z . 6S5 577.3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 6-11111
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
[FINAL I PV I
• FOR ALL INSPECTIONS (952) 447-9850