HomeMy WebLinkAboutBuilding 13-0414 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED a1 Cf (((„
ADDRESS Li I q0 &v Q...\vT•Q. I /
OWNER CONTR.
PHONE NO. PERMIT NO. ig—111 L
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI
❑ FRAMING 0 WATER HOOKUP 0 COMPLAINT
0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUPFI
FINAL 0FIREPLACE FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: 6.)i oc,(1.0cjS
1. got/Cc-1a 0- 0 1 C Io 1.`5
04) c a c
l Q
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT tilt-K,CALL FOR REINSPECTION BEFORE COVERING
Inspector / Owner/
Contr:
C' 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, f TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
ril AND UTILITY CONNECTION PERMIT
40.,xesoth I. While File
2Pink City PERMIT NO. /j 0 4,i/
.
i Yellow Applicant
se type or print and sign at bottom)
DRESS ZONING(office use)
Gil 9® /V-C-J C 4'f-C Tr r7 (0'47=
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER yj�
(Name) / " ) & lilt;c-li'Q f (Phone)
(Address) 1(4' 'a EA—Lk ( ).A•' /' . 7-1.^-1 til E
BUILDER (
J \
(Company Name) �Ue `-)C U 1c-\— S --c- (Phone) 61 -266 "22c/2_
(Contact Name) 7'.a'1 1k�r- -L (Phone) 6(-2_--Aso ---Z1C _(Address) 51-1-1s- Cttc-ty /'1. . SC 0c1.4-4% 4( cy y 2 t-
TYPE OF WORK 0 New Construction ❑Deck ❑Porch [Me-Roofing,-'ORe-Siding ❑Lower Level Finish 0 Fireplace
CODE: DI.R.C.
❑Addition ❑Alteration ❑Utility Connection
4orlu
tID &U
❑LB.C. Misc. `�
e of Construction: I II III IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $
(excluding land)
ision: 1 2 3 4 5
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-mentioned property and that all construction will conform to all existing state and local laws and will proc- n ordance with submitted plans. I am aware that the building
official can revoke this permit for just cause Furthermore,I hereby agree that the city official or : ma
; ter .p the property to perform needed inspections.
_door
57:-/i(- 2_0(2
Signature Contracto ' License No. Date
Permit Valuation 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 $ TOTAL DUE $ 79 7,!-'
This Application Becomes Your Building Permit When Approved Paid � / 7S Recei t 4 / 5/ 7 4
Date S1/4//k By `
Building Official Date
s 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
fd
signed 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)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372