HomeMy WebLinkAboutBuilding 02-1600
DATE TIME
CITY OF PRIOR LAKE ")., -).~!
INSPECTION NOTICE SCHEDULED
,
.s-11r - f/
ADDRESS :--#JJCP7:"-1' ~
OWNER CONTR.
PHONE NO. PERMIT NO. 2--1 t ~()
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION Ir t- O SEWER HOOKUP o FIREPLACE FINAL
,. FINAL I l a PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
CQMMENTS:
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CORRECT WORK, CALL FOR REINSPECTIO~ "pE~ORE COVERING
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Inspector: II//f - ;--V I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE
8- -J;7S- 3;cro
~'J-<J'~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5~/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION L L
f&. FINAL
"'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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/
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(
( ()V
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TIME
;;2 - I" ()()
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAsLlNE AIR TST
o
/1
I....-/(Le.,
)ji!f"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 111# J-- 2 ~.-(]$ Owner/Contr:
.
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2- /7- 02-
(Please type or Print an~ sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
PERMIT NO. 02,..../&00
5'7/8
&~oJ.frt/V/.J#~
oS. I .
ZONING (office use)
PUJ.D
LEGAL DESCRIPTION (office use only)
LOT I BLOCK Z ADDITION Mj::.~1 /1//'1'- /:>-f.oq5 .:9-"tJ
OWNER
(Name)
PID Z~-:; - S{(P .-() 16 - (')
(Phone)
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
<:;;Lz ,-< //!//~;; C~ //" t/~k <:
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j/;;'h-2,; I). {I.
(Phone) //~
(Phone)
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TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
OAlteration
OUtility Connection
DMisc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished 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 tile building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope~.. ~rform yleded ~~~pections..
C._-).......L /-/:/'L' _c I_I '/ A. '\
X ./ / /// ...~. ",' lV.y
-' / SignatUre Contractor's License No. . Date
I Permit Valuation "~O(J, 00 I Park Support Fee # I $
I Permit Fee $ 7#" 7!> I SAC # I $
I Plan Check Fee $ , I Water Meter Size 5/8"; 1"; I $
I State Surcharge $ /. c;- t; I Pressure Reducer I $
I Penalty $ I City SAC and WAC # I $
I Plumbing Permit Fee $ ~tJ" a 0 I Water Tower Fee # I $
I Mechanical Permit Fee $ I Builder's Deposit I $
I Sewer & Water Permit Fee $ Other I $
I Gas Fireplace Permit Fee $ TOTAL DUE~AEl? 1~'f0 ~oU$ //~.2.0
This Application Becomes Your Building Permit When Approved I Paid //q,.2 ~ I ReceipM o. 43+~
~ :::4,:/J"f- /.)-11710 "L- I Date /,;! '2-f) ,oZ-- I~-
" U
Building Offi~ial I 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
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Planning Director
-12I1?Az..
f D'ate Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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PRIOR LAKE
INSPECTION RECORD
5' a Cteo~~A ST.
1.-. L.. F) f-.JI S H
USE OF BUILDING S.F: D. _
PERMIT NO. 02 - /000 DATE ISSUED l2..-t:Uta
CONTRACTOR ~,. "" 0 ~ PHONE _ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING tc{(,,,,~ l)11'i t1#I-~
INSULATION . I
ELECTRICAL
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
r1f(/
. 't1/P
J1/Y?
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.
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SIGNED
FOR ALL INSPECTIONS (952) 447-9850