HomeMy WebLinkAboutBuilding Permit 15-0357 DATE TIME
CITY OF PRIOR LAKE f
INSPECTION NOTICE SCHEDULED Z (2-c'`I
ADDRESS / (, 5'9 J £ ,
OWNER CONTR.
PHONE NO. PERMIT NO. \ 5 - 351
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS:
WORK 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!
L'5NO l
('i----
PRlp_ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Vl3—
.. x AND UTILITY CONNECTION PERMIT
tv
4jNNEscigD I. White File PERMIT NO. 1
2. P ///���ink City /5 357
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
V c9 Eat ( 1C z� sE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER , , --ily.
(Name) JCAW v i N''C 0\ "( /i h (Phone)
(Address)
(ComDER
panyy Name) /l e'cp.1 S ,V fi r i' P a11/iT (Phone) -Z7 �!6
(Contact Name) �j/pt/r,-✓ S '1771h eccgl (Phone)
(Address) 77” 2/Z A 57'
TYPE OF WORK ❑New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Altera on ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. El Misc.
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 certi' at I hay " ished info alion 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-ment•ned pro. 'and that all instruction 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 i ev is.ermit for Just i use Forth�'ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Ai / ga3o5 z! 4,/,...z1,.../S—
ignature Contractor's License No. Date
Per .,uation / ZOO CO Park Support Fee # $
Permit Fee $ 4-1, 15 SAC # $
Plan Check Fee $ 31_0 4-- Water Meter Size 5/8"; 1"; $
State Surcharge $ GC)
r C) 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
3
7'
This Application :4111 I/
_ : es Your Building Permit When Approved Paid Receipt No. I"7 0
ly
Date ;(1.Z/'
— 60 .—f5 By rvtWL,
Buil ng Iticial 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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
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
DEPARTMENT
F
PRIOR LAKE BUILDING A D�INSPECTION
INSPECTION
RECORD
SITE ADDRESS
TYPE OF WORK DEGG
USE OF BUILDING �C ter 4f,t . /".
PERMIT NO. � • •,,74,•,,74,2I+ , DAT ISSUED YZl.
HA1 �SBUILDER /5".�vsnu�ea-io�/ PHONE # OZ. Ii92..303
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
IFoonNG I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
IFINAL
• FOR ALL INSPECTIONS (952) 447-9850