HomeMy WebLinkAboutBuilding 11-0106 DATE TIME
CITY OF PRIOR LAKE. J/
�/� � 1
INSPECTION NOTICE SCHEDULED
I
nn(( I
ADDRESS 141 3 �1 i oC�.e 1F4' .
OWNER CONTR.
PHONE NO. PERMIT NO. //" /0 Co
❑ FOOTING ❑ PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
C ( oseibe fed
Due . nQat 1 v i ty ! ,
i,I
0 'I'M"',' to
i0 WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr.
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
msdori
13111( CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
° R TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z , ZL,1
.x AND UTILITY CONNECTION PERMIT
y, ' Pink City white Pae
2. PERMIT NO. ii. V
n'NESO
3 Yellow Applicant
(Please type or print and sign at bottom)
ZONING(oSS ffice use)
ADD 1 7 03 r3ridicit TO
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) t 1 ` to(w)V tAtotr (Phone) - O O e' . /.3 ':5
(Address) f 7q3`J r3 y'v,1(, Pole frit
BUILDER I / / . ii r / (Phone) � QQ1/ X7)
(Company Name) � _ _ _
(Contact Name) ati, l _. II/ �((PPhhone)
(Address) 2 }''Iy) Jr iyan ✓78-?
TYPE OF WORK 0 New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
['Addition ❑Alteration ❑Utility Connection � ,9-5
/ SaS f dryq-tsc. 5yJ� tJ�!
CODE: DI.R.C. DI.B.C. Q 4/ 55
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 3 O O Li .
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5 l
I hereby certify that h ve furnished 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-mento ed .rop'fly 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 r, e t s permit for just cause r ermo e,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
XOr
AJjciq. 2/11.P ii
Signature ontractor's License No. a
Permit Valuation j Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1";
State Surcharge $ 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 $
This Application Becomes Your Building Permit When Approved Paid 7 ( Rece' No. 2.07 7
Date "fr.. i L ., k By
Building Official Date
This is to certify that the nce
the City Zoning
rdinance
nd may
as
ed. This
nt
when signed by the City Planneruest tconstitutes n the a tove emporary Cerrtifcatication and e of Zoning anying ot compliance andments is in allows construction o commence. Before occ pa occupancy,proceed C tificat toftOccupancy mustbe
issued.
Planning Director 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