HomeMy WebLinkAboutBuilding 15-1524 CITY OF PRIOR LAKE
t4D4p,ATE TIME
INSPECTION NOTICE SCHEDULED
ADDRESS ! (° a 5 B" '7)iallaet
OWNER CONTR.
PHONE NO. PERMIT NO. I S_ .5-?, y
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
0 FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL .
14/
COMMENTS: ti` ` 1-.06
'mss-�zS
41,P
ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: eQ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(
CITY OF PRIOR LAKE BUILDING PERMIT,
Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
), ',W-(. /
1. Whil4 flit
2. Pink City PERMIT NO. /4- —
fREtype or print and sign at bottom)
I/.
( L'05—c6 ( /7 (4J71 IC)1 /„ ..14/-e..,
3.Yellow Applicant i 4./ r
ZONING(office use)
"P 0
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID/ 95---, 39 '- 0/3-0
OWNER
(Name) _-.5;e...dc...c.. (Phone)
(Address)
BUILDER
(Company Name) -7 tt,- 11.1.V.tiei .
(Contact Name) . -r--rt(t7.v-t i.,...Sc..?r .hcz._7
r" (Phone) 2 is9 .' V 00
(Phone)6/e. Li'ci4
(Address) (/03 c..). grifip. 0 i it 0 _Pk.ir'• ') -4"-1% j'-7Sfrrh 5L,,1(t /4/10 53 3'
...
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding 0Lower Level Finish El Fireplace
CODE: DI.R.C.
liot
e of Construction:
pang Group:
DAdditionc. 0 Misc: f
OAlteration OUtility Connection
I II ra W V A B ::
A B E F H I M R S Uif"441 1 ' 4
5 r F°i'll‘c I''' 1 4---- R.
I 2 3 4 5 e 41
PROJECT COST/VALUE $ Z ,""-;;::-..C7Ci517;'5 75I°111v---
(excluding land)
I hereby certify that I 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 or authorized agent for the
above- i . ' i and that all ctmstructiun will conform to all existing state and local laws and wit proceed in accordance with submitted plans. I am aware that the building
offi ' v,it r• eke thisr
.• o' cause. Fu ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
'IP' ,.n 0,-•..
7
Signature Contractor's License No. i Date
Permit ValuationPark Support Fee # $
Permit Fee $
1 5/ SAC # $
Plan Check Fee $ 1 ‘..
Water Meter Size 5/8"; I"; $
State Surcharge , $ Pressure Reducer $
Penalty $
7-- 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 $ 7#76 (
......--
This Application Becomes Your Building Permit When Approved Paid '- q 5 Receipt No.zfrizile
Date ..---
1 .-24 \S By
5
Building Official Date
ci
1111110 to certify that the request in the above application and accompanying chicuments is in accordance with the City Zoning Ordinance and may proceed as requested. This document
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
.
Planning Director Date Special Conditions.if any _
24 hour notice for all inspections(952)447-985(1,fax(952)447-4245
4646 Dakota Street 5.E.,Prior Lake,Minnesota 55372