HomeMy WebLinkAboutBuilding 06-0639
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 15LP3(, /F~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING f 0 WATER HOOKUP
o INSULA~ ()~ J 0 SEWER HOOKUP
FINAL , .. '-c PLUMBING FINAL
~ITE INSPECTIO.. 0 MECH FINAL
COMMENTS:
l~i~J~ .ME
{p- {;3L-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(
(\\,-v 0
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( ( I (
~ _11 \ \
1 V '- ~\..
4
-,
~-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ;. 8 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7 17. () f;
White
Pink
Yellow
File
City
Applicant
PERMIT NO. CJ(p. 0(p39
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
/s-to 3(.,
F /LIZ /JKJ A.ff
Au..e
A..J. W .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
s~~ QJ<:,cLu FiJ,J ~E~AuL
/
/.sr... 3{. Mem~r t4rPl.
(Phone)
(Address)
JJ.W.
BUILDER
(Company Name) Mu.
(Contact Name) . J ~
ZlIol
(1iliJ1AJ""t-A.A.J ~ U.le/.IK I flE.tHod~/p~..J XK.(Phone) 7(,,3 ,..l./rJ.o
,
.!5TbJ>o./1t- . i3/t, IJ-I o.S'TO,pO,.. (Phone) ~ f.,t - C/l1o,-
, '1) ~/~ \.190
;j)YL. ^-Q4,."AJ. rn~
, ,
- ::J.VCJO"
~-c. '"7 F
S""'?~
(Address)
04- IC/;)A ,,~
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAdditlOn ~Alteration o Utility ConnectIon
ORe-Siding
CODE: OLR.C. OLB.C. o Mise.
Type of Construction: 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
Dl~
OLower Level Finish 0 FIreplace
I<EPIAC.E
~'K15'/~~.
4Q
$ .;I, t,OO
~-I-j5
PROJECT COST /V ALUE
(excluding land)
I hereby certily that I have hlrnlShed mfmmation on thIS applicatIOn which IS to Ihe best of my knowledge true anl1 correct I also certify Ihat I am the owner m authorIzed agent lor the
ahllVc-mcntlOl1cd property and that ,lll co lIction will conform to all existmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
~IlClal can revo .. hL pern~ fm Just caus f Irther , I he:?;:ha.t the City oflleiallll a:;~~m7 enter upon the property to perform n;~d 1;4:~n~
-S'igiiature Contractor's License No Date
lluildlllg UflklaI
~. tRJ Park Support Fee # $
$ 2C. () C! SAC # $
$ Itr- 2A - Water Meter Size 5/8"; I"; $
$ ..CcJ Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ Other $
$ TOTAL DUE $ ?-I.. 7 S-
Paid +/. 1 J-- I ,ttceipt No. 519' 7
7hA6 Date '7./ JJ&/ (p if' I
,
/ Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
ThIS IS to certify that the request m the above application and accompanymg documents IS m accordance With the City Zoning Ordin,rnce and may proceed as requested. ThIS document
when signed by till' City Planner con~;tltutcs a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy mllst be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
.J
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /Sfo30' FR8;^10/~
TYPE OF WORK O~ rT?j
USE OF BUILDING 1l.-r;.S' /-JI)~
PERMIT NO. 0 & ,D &3 9 DATE fSSUED 7/7, {j &
BUILDER /VAl (!d()/l./~ PHONE # &/2, 4-9tJ. 5l'lb
NOTE: THIS IS NOT A PERMrt FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING (.)L I t/1'NSPECTOR/ I? JIBh~E
, . / ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
/1-1/J
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\of .
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I / /?~/o-i
./ /
FOR ALL INSPECTIONS (952) 447-9850