HomeMy WebLinkAboutBuilding 07-0399
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,- 3"71"
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
~ ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C;(&~LR \J)
00 7 lc ,
j.:t!.ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l'illl
\\ ~ 10 ~V"' Lu~ \~ T\r
Date Rec' d
5.7., r. 0'1
1 White
Pin!.;
Yellow
I PERMIT NO. '1
() \
File
City
Applicant
" (_, (/1
! , I,
ZONING (office use)
N10
i~ ~ \"
LEGAL DESCRIPTION (office use only)
LOT L,t-BLOCK
ADDITION
\-0 ~'-- ',~
(Phone) 9<;1- LJ.YO-LfhI3
OWNER "'-
(Name) Ul>...v)
S ke. 6 u~ \z'\
(Address)
Sc:.;.,,"y ~
1\,-
\. 1./
'-..,) ',:"
PID i .-: -:~!;:, .' ( ) ('.11- ( J
T\ t~..:'
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing ORe.Siding OLower Level Finrsh 0 Fireplace
OAdditlOn OAlteration o Utility Connection
CODE: iBI.R.C. OI.B.C.
Type of Constrnction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Mise.
A
R
5
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
I I hereby certify that I have hllOlshed InIinmatlon lln this application which IS to the best of my knowledge true and colTect. I also certIfy that I am the owner or aUlhorIzed agent for the
I above.mentlllned prnperty 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
~ ~tiC1a~ I:: tim, Pg ~~::: hereby agree that the City official or a deSIgnee may enter upon the propeny to perflJrm needed ll1Spectlons
Signature
Contractor's License No.
Date
Permit Valuation 2- ~ eJu -
Permit Fee $ -74 .7 ~
Plan Check Fee $
State Surcharge $ ( . '2. .r:;-
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
This A p.lic<ltiqn ecomes Your Building Permit When Approved
, I I. . '
! j Ii - I' / /
, , I., / r ,'/ '.7
I"" I i ~{'..... '.-1
I Huildl11g Urtlcial Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7G. .-
Paid
Date
-ie.
l ._....
r'::: I
Tim IS to certify Ihat the request 111 the above applicatIOn and accompanYl11g documents is 111 accordance with the City Zotllng Ordinance and may proceed as requested Tim document
when signed by the City Planner constItutes a temporary CertIficate of Zonl11g comphance and allows constructIOn to commence. Before occupancy, " CertIficate of Occupancy must be
isslIed
Planning Director
Special Conditions. if any
Date
24 hour noticr for all insprctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \/1 .1....' I '\- \1 \ L-' ,,,:) ,-- \' }..\.\ L'
t . "\...t"-.l""'_"',\,_ \e.. I'
TYPE OF WORK -->~~ IAJ ~+
USE OF BUILDING f26 s A-!12-
PERMIT NO. 07 -~11 DATE ISSUED c;/21--107
BUILDERD'\10 S{~ l-= i.>r::,.. 1'--- I PHONE # '--::i::;z14() A<'ol'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
r~..I~<S I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
I M .~MltlEii ~ I
I FINAL ~V f)e~t I f(2 ~(p
FOR ALL INSPECTIONS (952) 447-9850
t
.f