HomeMy WebLinkAboutBuilding 06-0927
1 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 4 lee
ADDRESS I,YO'5 ~r~ .a.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -eez7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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- - - .
/I
~~
.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V~~ OwnerlContr:
CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
\....J..l i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY L.lYC.lJ.11.lCATE OF ZONING COMPLIANCE. .
AND l.J ULITY CONNECTION PERMIT
Date Rec'd
/0.5,Ofo
~E Er- I PERMlTNO. 0(,,0 9Z7
(Please t'rlIe 01' 1IriDt aDd siliD at ~l
Au'.o'AESS
-17L{ 0 3 De-~rt,c-l c-l Dr IV~
LEGAL DESCIL.o: uON (office use only)
LOTUBLOCK ( ADDmON .D~ Gl.,,{? 9' '1JI
~~ p...1~ht\.IJ. De() "7, v"te...
(Address) 17LfC)3--Deer-hclct D(,v~J
~~ L" /l/'\.' .......
(Company Name) ."") 0 I (A.F. (... I ; t-\. w (. <; . I
(Contact Name) -5 ,-0 .t-f (-r-', t 10 ~t:s' 0",
(Address)l;A ~a q r~'\d.,.'\S"fT,{'"\.1 PlA( "-
ZONING (ofticcuse)
12Z-
PIDZS. 4<X:J. ozz.O
(phone) Q r; J. - 4"-10-1./ J S'O
P" c r ~ l-e...- , /l/JIJ 5~ 3 )~
(phone) I \0"3 - S-.t; 7 -5"', ~
(phone) <3(.L II'"--L .
P ( r J"\IL.C>v---"f1, J M AJ S5" '-It/I I
B \veA..
.I......::.:.0FWORK DNewC"..,,,.ction []Deck Dporch ORe-Roofing []Re.Siding DLowerLeveIFmish Dr~
DAddition [JAlteration DU1iIityCODDediOIl IStMisc. 5t>i,,-~ btL. I" ')'-J-... n L_.t-' (\ '"
. CODE: ~.c. DLB.c. PllOJECTCOST/VALUE S too 0
TypcofCuodtnlCtioa: I n m IV V A B (_,!',JinglaDd)
Ocaapaacy Gmap: A B E F HIM II S U
DiYisioa: 1 2 3 4 5
lllicRby eertiIY IIIat 1 bnr IiJrDisbed ill i...,... . :.11II 0II111is appIicaDDa wIIich is 10 !be best cllIIJ IaIowIcdF lI1IC mcI amea. 1 also certifY IbaI: I am !be OWDCI" or ~ qcar lOr !be
,I.. , .... ......,..J I.,,, _.} and 1ba1 aU .. ,...' ..:,.,. wiI1 "" ..:. ... TO all ..:.,;.,.... SlaIe md local Jaws;md wiIl......J in ~ wiIh .....,..:..,:d plus. 1 am _lbat!be buiIdiIIC
_;;:;;;~.~_I- _.........-~ .,-'-.--- ...,., ". ---;-'0::-;,'(: Ob
x, .
Sip.aluR CoDtndor's LiccDse No. 0.
11'__'::' Valuation
r __.:: Fee
Plan Check Fee
I State Surcharge
Penalty
Plumbing r _....:~ Fee
Medumica1Permit Fee
I Sewer It Watt:r Permit Fee
I Gas Fsreplace fermit ~ee
Woo, -
s '1;.15
s 4-1...~
s ~L-
s
s
s
s
s
.. .~OUI' BailcliDJI Penait Wl*n ~
. Park~,"!,..._.~Fee
SAC
I Water Meter Size 5/8"; }-;
Pressure Reducer
Sewer/Water Conn......:-.. Fee
WamrTowerFee
I Builder's Deposit
Ot:ber
##
##
$
s
S
$
S
$
$
$
$ rZZ-. (,9
I~' D I If.-:J C-.
##
##
.I........AL...'U.r:.
I Paid I i~ J. I (0 !j
I Date 10 .- (?- f? (""
Tb&s is to eatIIy lllat the request ill tbe abmIe applil:ation ;md ac:companyina doculMDts is ill acmnIana: with die City Zooing Ordinancr mcI may proceed 011 reqacslI:d. 'Ibis ducDlDCllt
wbeD siprd by the CiIy P\;umt!r ronstitutcs a,..,. "". CcttiIIcate ofZoainc ..,..,,';.JIICr mcI aIIDWS _._..l:tIOO 10 c:ommcncc. Bd\JIe . .........cy. a CcItificaR ofOc:capallCY must be
issued.
I'I8mtinI DndDr
Dafe Sj'Jecial ~. if ."
204 hoar notice for all jllSpcctioftl ('J52) 447-98.."iO. fn (951) 447-4245
16200 Eagle ~ Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS (,~o]. D~Ie>v ~
TYPE OF WORK ~c>t-A~ ~~ ( ~) ,
USE OF BUILDING R~5 ^/rz- -
PERMIT NO. lJ(P. oCfz. 7 DATE ISSUED 10 I" r o(Q
BUILDER ~....,..c..O-. ~'Oe M.\~'r. PHONE # 1(.,-;...5"'57..-5'702-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
.,4 fTIU6 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~FRA. MING L-eAVe \ :;/106- if S(,lAf'r""OPcN \
"'~ Cn~Pv--~ ~T\.t At- 5~ /(JIt\C /}'.' II
FINAL I rJl) 11/Jelo~
I f
FOR ALL INSPECTIONS (952) 447-9850
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