HomeMy WebLinkAboutBuilding Permit 12.180 P R I R LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Z800 WK.
NATURE OF WORK L_!J W El' - L6VEC,
USE OF BUILDING /Ze.j'
PERMIT NO. 1 Z _ /00 DATE ISSUED 3_ /9. 17.—.
CONTRACTOR HAN PHONE *IC. 44$/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
*NW 1 1
1 -. ..- 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ,j3 OP-
INSULATION
ELECTRICAL
HEATING (if required)
MIME
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1 1
FINALS
BUILDING fij 4 l2
ELECTRICAL
HEATING y'
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
of PR Ip� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
'
_ AND UTILITY CONNECTION PERMIT 3• /7. 1 Z
�N
afi N N E SO1t' I. white File PERMIT NO .
i� * 700
3 Yellow Applicant
3 Pink City
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
2800 k &JK RiD6,E R.D. NW.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER }-� /�_ l ` I Q /
(Name) V AV I I) + 3 U 2 A� I\J 1 t T � Iv �-- (Phone) 1 Z . L � � D `t14 1
(Address) 2800 H AW K R I 06,E 12.8. NW -
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ['Re-Roofing ❑Re- Siding sower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ P000 1 0000
Occupancy Group: A B E F HI MR S U
(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. 1 also certify that I am the owner or authorized agent for the
above - mentioned property and that al 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 .1 yoke this per forj 1 ause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
/V ' , .3 —M— /Z
Signature Contractor's License No. Date
Permit Valuation �/ 0 0 0 . 00 Park Support Fee # $
Permit Fee $ 3 7-5- SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ . S0 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 $ , 3 ` , 2-5- This Applic., ' t ecomes Your Building Permit When Approved Paid 3,5 “ Rece o.
Date - 3._ f '/Z By
uildin 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
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