HomeMy WebLinkAboutBUILDING PERMIT 15-382 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 2 < < 7
INSPECTION NOTICE
ADDRESS .Li9 ktPa c3C d't U c eke 1 C-(--
OWNER
OWNER CONTR. ��----
PHONE NO. PERMIT NO. �'—�
❑ FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
0 MECH RI 0 COMPLAINT
❑ FOUNDATION0 FIREPLACE RI
❑ FRAMING 0 WATER HOOKUP
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
1/40 FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL t❑
COMMENTS: ��Ob� aro uva `rea`
C t k.°5Q./ '-''.-k 1-1:‘-/C
7eWORK SATISFACTORY,PROCEED
/❑ CORRECT ACTION AND PROCEED
0 CORR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTt
DATE TIME
CITY OF PRIOR LAKE i
INSPECTION NOTICE SCHEDULED (0 ) l )5
ADDRESS — �. V
OWNER CONTR.
PHONE NO. PERMIT NO. 6 , 3 r
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ CMPLAI FILLING
0 COOMPLAI
❑ FRAMING 0 WATER HOOKUPNT
0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUPFI
❑ FINAL 0FIREPLACE FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
•
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
ORRECT 'ORK, ALL FOR REINSPECTION BEFORE COVERING
Inspector � r I Owner/Contr•.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
wsnoT'
OF PRION CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /�! �?``�7—
AND UTILITY CONNECTION PERMIT `�
��NNESOoP I White File PERMIT NO. /
.........."
2. Pink City ! r �
3 Yellow Applicant / vvvV
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only) -
LOT4 BLOCK 2. ADDITION �,cs, PID 3X5`0 1�C
OWNER d
(Name) moi-- y ►� '�'�A"�4� (Phone)( Z,�T Z'4�) 1
(Address) I/NI:Otv V C_T, ;
BUILDER
(Company Name) - AI. ' ' L 4-51:0'S (Phone) ,,��
(Contact Name) ,�!.. .G .,L (Phone)l�f.� 77 – 0
(Address) ZOOS l MNApcL,x,5 rii..iI . 1-4+ AA N 5544)
TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc. L cc__—
Type of Construction: I II III IV V A B
ono
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $5-
(excluding land)
Division: 1 2 3 4 5
I hereby Xrtify 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- t: e. . .•erty 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 n evok this ermit for just cause Furthermore,I hereby agree that the city official or a designee ay enter upon the property to perform needed inspections.
X — ,, ' `I I f: w41
ture Con actor's License o. Date
Permit Valuation 2- 500,00 Park Support Fee # $
Permit Fee $ "q 15- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 5— 0 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ ‘.4•
CO Builder's Deposit $
Sewer&Water Permit Fee $ , Other $
Gas Fireplace Permit Fee $ TOTAL DUEaki V?s .,(j $ /3¢ 1$
This Application Becomes r Building Permit When Approved Paid ' 3 - o 2.$ -y' Receipt No. lk1 Z..._Date hy- (a ‘. l By
if . . i.,,i, / _C- 4. /1-
'1' :ii um_Official D. e
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
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