HomeMy WebLinkAboutBuilding 10-0931 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
1-1Z-LVP --_ i
1
ADDRESS I 3q QL lp i - 11�
OWNER • CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRADIFILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TS?
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
Ili.IAIIM011111/i1.L1111S11111ft!
•
❑ WORK SATI A TORY,PROCEED
❑ CORREC
if
• AND PROCEED
❑ CORRE' - c•LL FOR REINSPECTION BEFORE COVERING
PIns ector. Owner/Contr.
IV
CALL • •50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTl
(*----PRI
��P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
O TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /O /3. /0
x AND UTILITY CONNECTION PERMIT
c) i�
MlA'NESo� I. white File
2. Pink City PERMIT NO. /r) 93/
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
1�,�{q c �I v-c t.r.(I�e Tva i t N t
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNEFI' 3 VU 0I 2_ hs � 3 Li
(Name) I o d c✓, 4�i (Phone) v
cmc— — (e (7— _ ace z . 1534—
(Address) 534--
(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 '°��
�
CODE: I.R.C. ❑I.B.C. Xmisc. 6�� p __ PT
—
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that • burnished information 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- . ion , operry,. d 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
otfic., can ok•this it for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / 10 - 13-ID
Signature Contractor's License No. Date
Permit Valuation 4 000, Park Support Fee # $
Permit Fee $ io3- '-
SAC # $
Plan Check Fee $ G,i„-C;� Water Meter Size 5/8"; 1"; $
State Surcharge $ '�C-/7 -ll— 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 DUE er) /D, /44". /a $ (/ % .<5-
Thi
Thi Cli
• ,.Ii ion Becomes Your Building Permit en Ap oved Paid Cen Pc-h Receipt Nnoe l H 9 g
Date !O-( -(o By J`1"
14
to I
wilding Official Date
This is A •rtify t ,t the request in the above application and accompanying docu nts is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when sl •by CI City Planner constitutes a temporary Certificate of Zoning co Jliance a .allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
1�I s 0
Planning D - for D.to Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING izes ,a�f
PERMIT NO. I E - 9 Sl DATE ISSUED t tcz
BUILDER 4,3 ,-l"l- PHONE #6,(Z_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP OR DATE
I FOOTING I is
PLACE NO CONCRETE UNTIL ABOVE HA BEE fSIGNED
! FRAMING
i , 161��
INCoLettle -t®14 (6 '27a//`'
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850