HomeMy WebLinkAboutBuilding 05-1009
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ADDRESS J L( () L 0
OWNER
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CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA lION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
2. ~~v..-S
q- - 16C? 1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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d~t\-P
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'jiWORK SATISFACTORY. PROCEED
o CORRECT TION AND PROCEED
o COR T R. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/ (J. (,. 05'
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO.
05. /~~'l
." /' ~ i
:Jll!-L(/G' G
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7
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ZONING (office use)
If!, I SO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS: 1'"tJ"f'. 00(,.0
OWNER -'
(Name) --5-r-ev-e J C'Y
Pa v-I"ci.
j)~Jal-€-
'-.j
(Phone)
q'~ 2 -y~<)- V) L/ V
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofmg ORe-Siding
OAdditlOn OAlteration OUtility ConnectIOn
Lower Level Finish 0 Fireplace
Z~.
CODE: OI.R.C. OI.B.C. o Mise
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished mformatlOn on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authoflzed agent lor the
above-mentlon~d roperty and that c nstruc n will conform to all existmg state and local laws and will proceed m accordance with submllted plans I am aware that the buildmg
offtcial can r . , this permit f() 1St C se F. r erm . I hereby agree that the City official or a deSIgnee may enter upon the propel1y to perform needed mspectlons.
x
Permit Valuation 2, fJO tJ.O i)
Permit Fee $ (, Z z.S
Plan Check Fee $ -
State Surcharge $ /. () ()
Penalty $
Plumbing Permit FeedWAlIT1(....; $ ~() . 00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
,P'~- -
Buildl11!! Official
/~/ /o..r
. Date'"
Contractor's License No.
Park Support Fee
SAC
#
#
10 - / I - D5
Date
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
e~~
TOT AL DUE
ThIS IS to certify that the request in the above application and accompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constItutes a temporary Certificate of ZOning compliance and allows constructlOn to commence Befme occupancy. a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOUf notice fOf all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / ..tf-O 7 0 ,/-/n /75 L/I):::.6 UI"UL6
NATURE OF WORK ?OWclL t--6V6L
USE OF BUILDING PE;r f'/L.
PERMIT NO. -5. /QOCj ATE ISSUED /0- II. oS-
CONTRACTOR DU6;.o~ PHONE 445. 47rl-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~- -
BUILDING ' -rl~ ~/7(~f::>
.
ELECTRICAL
PLUMBING
HEATING K7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS "~
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