HomeMy WebLinkAboutBUILDING PERMIT 15-209 r DATE TIME
Y PRIOR LAKE
INSSCHEDULED £1 t o
INSPECTION NOTICE
ADDRESS 11011 Yam\.42„,V Q)1j'-Q
OWNER CONTR.
PHONE NO. PERMIT NO. 5— 26) `q
❑ FOOTING UMBING RI V ❑ EX/GRAD/FILLING
❑ FOUNDATION CH RI 0 COMPLAINT
7-FRAMING 0 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
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COMMENTS: LL T
I I Prm09Ftaa--4-c-e-- c-Pc per__
❑ WORK SATISFACTORY,PROCEED
CORRECT - ON AND PROCEED
❑ CORRECL'j•- • LL FOR REINSPECTION BEFORE COVERING
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Inspector ' Owner/Contra
Pm Pr'
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
uv5NOTI
A
ve PRto4p CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE l
AND UTILITY CONNECTION PERMIT
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NESO1�
I. White File PERMIT NO.
2. Pink City /5 Z.Zy
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
l'7°'? 1 KeniKek Catue W
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /� Fi4c'�N�l (Phone) 9 -21z._ 3��Z
(Name) //NTN pt�
(Address) (707 1 f CLw '1-- Cutc'c 5 t.A / Pa16� C rq Inc
(Company Name)BUILDER �`'`4A cam`"S1`' (Phone)
(Contact Name) Gidrty PA W.4 S (Phone)
(Address) (' 34 i Z s f- ' ,04 tea` Ski.ko,t Iti 5'C 37 /
TYPE OF WORK El New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ((Lower Level Finish El Fireplace
❑Addition ❑Alteration ❑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 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 proceed in accordance 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 a designee may enter upon the property to perform needed inspections.
X
��Z-_____ 3^16, i Sr"---
Signature Contractor's License No. Date
Permit Valuation tfi 0 o U .d 0 Park Support Fee # $
Permit Fee $ / '/ Q 7. SAC # $
Plan Check Fee $ C�, Water Meter Size 5/8"; 1"; $
State Surcharge $
G•7 `0 C) Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ z_/, , Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /40. 75'
This Application Becomes Your Building Permit When Approved Paid / t4', 73 Rec pt No. 8"
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Date 3 ,,/v .6-- By
Building Official 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 OF
PRIOR LAKE
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS P7O7/ /EAINeT -C/41/E--
NATURE
✓E--NATURE OF WORK L o W }1 LeVii- f2-'/•s + N G FP)
USE OF BUILDING REJ/9// -
PERMIT NO. /6-, 7...r/ 3_' DATE ISSUED ! o .15
CONTRACTOR 6774/9/./ / zifei-a- eA)Nrilt. PHONE (912-. 787.. MES66
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL
INSPECTOR DATE
Raill )
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IIIIIIIIIIIIIIIIIIIIIIIIII
FRAMING q-
to
INSULATION
ELECTRICAL
PLUMBING
HEATING 1A)`' -,
agimarammi
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
41111111111.111111111111111111111116
BUILDING 4----t17-
3 ,r--,---,-
ELECTRICAL r
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABO E HAS BEEN SIGNED
4
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
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_iii.' E > _ 7 w 0 eiwo.. NUMBER DATE REVISED BY DESCRIPTION
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DAN & KATHY FREEMAN
= . � � 51) ' ; 11071 KENNET CURVE SV'4
rn C ; c z o co n O PROIR LAKE, MN 55372
N ; -4 BASEMENT FINISH