HomeMy WebLinkAboutBUILDING PERMIT 15-383 PAn TIME
INSPECTICITYOFON PRIOR NOTICELKE SCHEDULED 7
ADDRESS ( l k c A0-tr
OWNER CONTR.
PHONE NO. PERMIT NO. I C-- 3)(p
❑ 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 0 MECH FINAL ❑
COMMENTS:
0 (675-e,_ VLe_ i(
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(6.- -° CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3. � G5'AND UTILITY CONNECTION PERMIT `NEsolt• i. White File
_ 2. Pink City PERMIT NO. /L) 3
3 Yellow Applicant /v i "''���
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/y/ 7 7 Ash /e N C • /Z/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 2.5, 07¢. 003.0
OWNER ip'CA 9- -'1/'a k'--o A.^ (Phone) Dr-d= / 6 /O 7
(Address) v`aMe as• R Zo v./
BUILDER A�
(Company Name) /v '/11‘47 /(oi'1e -,e,P)/orvve.r,"P.'''IL (Phone) 763 -78 k " '9
(Contact Name) d1 erl /VD rl'^ 7 (Phone) /d`-3-ie-.a 3. 9 g
(Address) 2 3 o t. /L?''S <4./C 0/. - 77-0 /74/`/ 553.
TYPE OF WORK ❑New Constructisip ❑Deck EPorch 10fe-Roofing L✓ftte-Siding ['Lower Level Finish ❑Fireplace
❑Addition Iteration ['Utility Connection
n .�oc -r
CODE: ►i : C. ❑LB.C. tsc.
Type of Construction: I II III IV V A B f O eV.. o
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
(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 revoke this permit for r just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
7 B6 6S<a7/, 3A//S_
Signature Contractor's License No. D to
Permit Valuation Park Park Support Fee # $
iOOOO ,
Permit Fee $ 1- D SAC # $
Plan Check Fee $ I ZA -it> Water Meter Size 5/8"; 1"; $
State Surcharge $ 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 ,,o 2i? : $ -Lo ` ck°0
III
This App at' Becomes Your Building Permit enAoved Paid L - pt No.
P-- Date ./` ly I
5
Date 4111
This is to certify that the request in the above application and accompanying documen is in ac rdance with the City Zoning Ordinance and may proceed as requested. This document
when signed by there'y P. • es attemporary Certificate of Zoning comp nce an allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. .---
A
A illi 3 (.5
'Planning Director _��_ D to Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
,.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1 i1°1 tt- t L- '
NATURE OF WORK ALS{ o-i, o ,. W I 9uJ sr -i c:)/1.)&
USE OF BUILDING •t.- 7 I-t � 12
PERMIT NO. jvi* DATE I SUED S ��S
CONTRACTOR nig.L,w' pry ' 7,��. -n PHONE !a 2--57 `Z39 c(
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
41111.1111111111111(Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ' -cam Ci,,
OSINIIIIIIIML
4110111111111111G
IIIIIIINNIONIMPIPIT
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
BUILDING i, 2 i /f 7
A11111111111
Allallaile
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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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