HomeMy WebLinkAboutBuilding Permit 08-0175
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS II.{ L\.~l
eV\c\cWt... c,-\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pt FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(\( fA ,,\,
\l \e;JL ~ -\"10
DATE TIME
~09
8- 0 ,~S-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~l> CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( / (If Owner/Contr:
V-rr
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
.y!-. / F 08
I White
Pink
Yellow
File
City
Applicant
PERMIT NO'OB. 0/75 I
(Please type or print and sie;n at bottom)
ADDRESS
J 4LJ-;J l ENClAve-
Dr
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.s-. 4-~. 687~ 0
OWNER
(N ame)
(Phone)
(Address)
BUILDER . n - \, J l"L \ <'
(Company Name) \\MbCflll)(A6 -1SV\ U't::- . '\
(Contact Name) M..\.\tE LAv~
(Address) }LtGl z: LJl\ct~ C:, t
(Phone)
(Phone)
~L-Lt40-~~G
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIOn
ORe-Siding ~ower Level FinIsh D Fireplace
z.. /U41S.
CODE: OI.R.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that I have ttlrmshcd mformation un this application which IS to the hest of my knowledge true and correct. I also certify that I am the owner or Juthonzed agent for the
abllve-mentlllned property and that aJ constlllctllln wtll contiJrm to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buIldmg
~IiCl~~pthermore. I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to pert(Jrm neql;;;-/o g
~ Signature Contractor's License No. Date
Permit Valuation 2., 000, 0 C Park Support Fee # $ J
Permit Fee $ , 2.. 2S SAC # $ I
Plan Check Fee $ Water Meter Size 5/8"; I"; $ I
State Surcharge $ 1.0 () Pressure Reducer $ I
Penalty $ Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ 50.00 Water Tower Fee # $ I
Mechamcal Permit Fee $ Builder's Deposit $ j
Sewer & Water Permit Fee ! $ Other $ I
Gas Fireplace Permit Fee I $ 50.00 TOTAL DUE $ /~3. 2.51
()
This Application Becomes Your Building Permit When Approved Paid / " 3. z... c;' .. . ~~ipt No. SSSRI I
~ ~.J2p r!l~/~p Date ;/.. /!S_O~ By,.... I
C
lluildlllg Uniclal Date
ThIS IS to (cnity that the request In tlh.' above applicatwll and accompanYlIlg documents is in accordance with the City Zoning Ordinance and may prDcl'l'd as requested ThiS document
when signed by the City Planner constltlltcs a temporary Certificate of ZUl1log compliance and allows construction to commence Before l}(CUpancy, a Certificate ()f Occupancy must be
issued
Planning Director
Date
24 hour noticr for all inspections (952) 447.98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRlOR LAKE
INSPECTION qECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J 4-42 t EN ~l-A V 5 c." ou rL:1
NATURE OF WORK LOW6R- u;.,Ve:G
USE OF BUILDING r2.Ss A/ R-
PERMIT NO. 08 0 /75 j DATE ISSUED 1-. IS. 0 b
CONTRACTOR TI M B8eA 0 q FL- PHONE 4-4-0. 3"3/ ~
NOTE: THIS IS NOT A PERMIT FOR A;\JY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
,
I
I
PLACE NO CONCRETE UNTIL ;4BOVE HAS BEEN SIGNED
ROUGH - INS
,
J
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
.
fb
\J0
I
I
.~
.
I 6/J1 n{1/
I
I
I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
"
ELECTRICAL
PLUMBING
HEATING
DO NOT
-
tfD ~
I
~
')CCUpy UNTiL ABOVE HAS BEEN SIGNED
NOTICE
I
I HI:rJ } c6>
I I
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 :-;abinet is available, C;Jrd shall be placed near main entrance"
FOR ALL INSPECTIONS (952) 447-9850