HomeMy WebLinkAboutBuilding 02-1581
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;2.-lf~1
ADDRESS
/(;J LIS-- 1/ "Chrra GA.vP'C,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-:;.. -I>x I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / /
~ FINAL vll- ,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(I) S~a ( a,{)JHd
'-" -
-mile--+-- 1i> +1""",
~
/~ \
/ / I r",/'" ,
( / / r U '::>L-/
\L--'"
"-----
'\
)
~
--------
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W~~~LL FOR REINSPECTlON BEFORE COVERING
Inspector: r /I r Owner/Contr:
I
.CALL 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
IZ,/ /,0 Z..-
98,790
1_ White File
2 Pink City
3 Yellow Applicant
I PERMIT NO. (J2 ~/581
(Please type or print and sign at bottom)
ADDRESS
1~3+5 vICrmJf:.,//}
C,UleVB
..s€
ZONING (office use)
PtJSP
LEGAL DESCRIPTION (office use only)
LOT' (BLOCK 4- ADDITION tJIq,et;)/NFJL- /e,/066 47H
PIDZ5-3ZZ- 034-~
OWNER
(Name)
E//caiJefh r- DlAnJ'e/ 'ThDmas
6ETH
(Phone)
/9S-;; ') '1'10 - (; 93 d
- ~
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
o Misc.
o New Construction
~ower Level Finish
.!J ~S.
DDeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace
OAddition
o Alteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have fumished 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X ~.J/~ /~/b/tJd
U Signature Contractor's License No. Date
I Permit Valuation 3,000.00 I Park Support Fee # $
I Permit Fee $ 74. '7S I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ /.50 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ 4-0.() () I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE ~J.\t.iED IZ- Iq"-Oz..,$ //~.2S
This Application Becomes Your Building Permit When Approved Paid //V'k~ Receipt If}. 4'J4~~/
~~ /';;/I?~ -z..- Date /2 #" J / - (I Z- B.J/ -:L
(J1
Building 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
iSS~ '_ ~ /;~ , r-. te>'lz.-.. ..t? A . All' I ~.' I
,6~~ rd//u/tJ. ~~~ ~. ~~-~r
, Planning Director bate Spe~al Conditions, if any
24 hour notice for 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 1ftL345 V/('// U/U /1 eu~f/&
NATURE OF WORK LOWDe- {hv6L-
USE OF BUILDING ;e:es /JIK-
PERMIT NO. (JZ-/$PJI ' DATE ISSUED /z- /8- 07
CONTRACTOR /fflJ/"1/9S PHONE ~4() - 6930
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ . -u .~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING vlrr:J )~ /~rO~
INSULATION l/l~ )- (Pr-O}
ELECTRICAL
PLUMBING ;11/ J-I?r~J1:;
HEATING (if required) (J;(J ~ - &- 07
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
JIlIVY
)11tJ
~
OCCUpy UNTIL ABOVE HAS BEEN
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.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J.~ /q~O~/
1--- (e/rO'-1
J - ('{-CPI
,
SIGNED
FOR ALL INSPECTIONS (952) 447-9850