HomeMy WebLinkAboutBuilding 11-1302 QAT TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /A, `r!O
ADDRESS C (1%)ele6Q
OWNER CONTR.
PHONE NO. PERMIT NO. /1 —13°2
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ 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
COMMENTS:
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Ctose ± eFie.
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ty
II
4I+
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT A ON AND PROCEED
❑ CORRECT O"` CALL FOR REINSPECTION BEFORE COVERING
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Inspector: Owner/Contr.
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
WSNOT1
CI :OF PRIOR LAKE BM. MG-PE T, Date Rec'd
- 4 t TEMPORARY CERTIFICATE OF zoisiiN6 COMPLIANCE
. " ANO UTILITY CONNECTION PERMIT
C-b
• L' PERAVIIT NO. 11-')3 0
3.Ydtow Applicant
(Moe type or print and signet bottom)
ADDRESS - - ' ZONING(office use)
55.0 ) GOcZe1 let_c.,vI C ( u-c-(e S
LEGAL DESCRIPTION(place-use only)
LOT BLOCK ADDITION PID
owNtat
(Dame) (Phone) ( criS�-� 6 SS'— 14(10
(Address) 5500 t".)0(4 lct.A-C_VI zP--ekes 5 i pi-1,01--- ,z.,z,i ,+t-' K( SS-37
BUILDER (41-LI�i0°-hscvlaCTe'6"�- �
(Company Name) T. CC f V /-
( ' C ol,s-reu l't )✓L,1 �.�= -- C tt' (Phone) loS l =51-16 C'ta ' j1
(Contact Name) f chvl Cc•,r ---QT- C2 F— PCZtit-l S;.v Itft (Phone)-Tciet it e e(( 7P&ts t( 01\^k-e..
(Address) I-6Lt.F6 S ciA,W -'l S\ 1 S A-(/I-u l i (tel % (1
TYPE OF WORK 0 New Construction °Deck OPort h ORe-Roofing ORe-Siding t]LowerLevel Finish ❑Fireplace ..
DAddition DAlte ation Dr
UtiIity Connection 12,8.p cc,e_e_, TLL,d Cs) LA-ItALCOLAA
CODE: OLR.C. D.B.C. O Mase: C✓&a( a Nth-6 Poor, l\l LI ci�¢ 1i) ( ,
Type of Construction: I II DI IV V A B -
Occupancy : A B B F $ I M It. S U PROJECT COST/VALUE $ '1 ��
Division: 1 2 3 4 5 (excluding land)
I hereby certify that Ihave fbrnished information on this applies' which is to the test of my knowledge true andoortect. I also certify that I am the owner or authorized agent for the
above-mentioned property and..•.. I construction will conform to all existing state aid local laws and will proceed in accordance with submitted plans I am aware that the building
R official this ' , .,..,, .. _ ;herebyagreethatthecpyoificialeta designee ma is upon the property topn'frxntneeded inspections.
X 416' r ...,. _ E .05 �iMT ? /"2--/1 J
Signature Coaio
`sLicense No. Date..
• Permit Valuation Park Support-Fee # $
Permit Fee $ SAC # $
?Ian Check Fee $ Water Meter Size 518";1"; $
State Surcharge - $ c r ;, Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Pernik Fee . $ . Water Tower Fee # $
Mechanical Permit Fee $ ; Builder's Deposit $
Sewer&Water Permit Fee - $ ' Other - $
Gas Fireplace Permit Fee $ TOTAL DUG $ -.7f--74'r This Application Becomes YourBrn7dingPermit WhenApproved Paid ( kt4e iC Receipt No. l!
r}- 61 Date 19.- Cr, // By i.�--
___Afrizz-;,____ce ' )Building Official Date
This is to certify that the request in the above application and accompanylag documents is in accordance with the Qty Zoning Ordinance and may proceed as requested. This document
when signed by die City Planter constitutes a oemponty 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)4479850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372