HomeMy WebLinkAboutBuilding Permit 08-0859
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
156((; ~S~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.e INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
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DATE
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
~RK SATISFACTORY. PROCEED
o CORRECT A~ON_ AND PROCEED
o CORRECTtWOmt4ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALt'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
White
Pink
Yellow
File
City
Applicant
PERMIT NO. O~. 0 B59 I
)
ZONING (office u:e)
(Please type or print and sie;n at bottom)
ADDRESS
\ 'S 0,,--"",- ::-,
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LEGAL DESCRIPTION (office use only)
LOT~\ BLOCK \
ADDITION ~'- \.\.......", ~'-""'-' \..~ <<->_"
PID
OWNER
(Name) ~.....:.,,\~.. (.
(Phone)
(Address)
i BUILDER
(Company Name) ~ '-"'~ ""'----.......__
(Contact Name) \..)<...-c .........
"''->''-'- ..,.
(Phone) \.0'& '\. """'~.... \.."..........~
(Phone) \.o\'~ ~6\' ,....,,'-
(Address) \ ~~
\;2>,.... L..~
I Q.c... '-:\c... '" 'lv- -:)
~.. -, "'-- I \.___ ,,__
~~
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectiOn
Date Rec' d
I o. /~;>. tJfJ
ORe-Siding ~Lower Level FinIsh 0 Fireplace
~ ~~~~"'- ~ "- (L \,,,,-,,,... ~
CODE: DI.R.C. DI.B.c. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ ~JDO'->- QO
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certify that I have hlrmshed Information on this application which IS to the best of my knowledge true and cotTect. I alsu certify that I am the owner or authOrIzed agent for the
above-mentlllned property and that all CllnstructlOn WIll conform to all eXlstrng state and local laws and will proceed in accordance with submitted plans 1 am aware that the buildlOg
nftkial can revoke thiS ptTml! for Just calise Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed inspections
x \..) C-"'__
~'"""-'- ~. -'-"
Signature
\~-s.~
Contractor's License No.
Permit Valuation
1.10 0 ~ 0 0
$ .3~1.s-
$
$
Pressure Reducer
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1",
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
.S()
$
$
$
$
$
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
/J
II
Rd<iipt No.
&(
~-
This Application Becomes Your Building Permit When Approved
3S.25
/0./2 d~
Paid
Date
Ilulldlllg Ulflclal
Date
,~/''-/~'li...
Date
$
$
$
$
$
$
$
$
$ 3S.z5
,5l"f3Z-
ThiS IS to certify that the request 10 the abllve apphcatlon and accompanYlllg documents IS 10 accordance With the City lllning Ordinance and may proceed ,IS requested. TIllS document
\\'hcl1 signed by the City Planner constItutes a temporary Certificate of Zomng compliance and allows construction to commence Before OCCUpclllCY, a Certificate {)f Occupancy must bL'
i.<;slIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
/5()4.;$ 3EFI4 sCJ51UJ1)1f'/
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED lIJ. I~
CONTRACTOR ~ PHONE~~ ~/. ;1""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~(~
10 ~ rft
FRAMING
INSULATION
ELECTRICAL
i
I.
KJ
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUtLDING
ELECTRICAL
113 J
/
/
tp
HAS
(Iisl,"
- .
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850