HomeMy WebLinkAboutBuilding Permit 08-0525
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3(01 ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~SULA TION
R!NAL
o SITE INSPECTION
COMMENTS:
. I DATE
SCHEDULED Ii ;2!{~
fJill~~~ 1'1'
TIME
CONTR.
PERMIT NO.
08 - 0 '5'2...~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
A If) /\.
1\ I . 17 P " I '(
\ /lO~J t-'\.{ f. Co
f WORK SATISFACTORY, PROCEED
o CORR~CTION AND PROCEED
o CORRTr~- A~K, CALL FOR REINSPECTION BEFORE COVERING
Inspectqr: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7 2-4'- tJB
1 White File PERMIT NO. (Jg,OSz--S
Pink City
Yellow Applicant
(Please type or print and si~n at bottom)
ADDRESS W: \U.....) 6~~~ - ZONING (office use)
0b7D Jr~:
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER ~\ \::)~ ~~t. tl.)..' --/I r. .338 (
(Company Name) (Phone)
(Contact Name) &-, rD~'j6t,U\ I- (Phone)
(Address) 17:A 79 f\\v~UjS\ .AlE-
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition 'poAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
B
D Mise.
I
E
A
R
5
PROJECT COST IV ALUE
(excluding land)
$
,
(;
mfm tion on thIS applIcation which IS to the best of my knowledge true and correct. I also certlly that I am the owner m authonzed agent for the
ro rty th t all co strucl10n WIll conform to all eXlst10g state and local laws and WIll proceed in accordance with submllted plans I am aware that the build10g
IS pe It 0 Just cal ore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed 1OspectlOns .
.:z D I~b V 1:1-7 c2LJ- oJ]
$
$
$
$
$
$
$
Gas Fireplace Permit Fee $
TW, zr:t' Yom Boilding P'~; t;t;
I '1t~lIlg Ulfielal ) I Date /
..//
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
B
S U
II
F
I
III
H
2
IV
I
3
V
M
4
Contractor's License No.
}-500
2S.
/0 . Z-")
Park Support Fee
#
#
#
#
Date
$
$
$
$
$
$
$
$
$ 4- ('l ',,-
Paid
Date
r _
4-- ( -.1 "') I
. "7/7A'IOe;;..
'( ""f", ~
Receipt~~,j..LSb 5l::fj
By I~
Date
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
ThiS IS to certifY that the reqllcst -1i1ih~; above application and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zon1Og comphance and allows construcl1on to commence Before occupancy, a Certificate of Occupancy must be
issued
SAC
.S-Q
Water Meter Size 5/8"; I";
Pressure Reducer
Planning Director
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Special Conditions, if any
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3(,70 WIc...L-OW f3~f 1/t.A-.
TYPE OF WORK / NT. /Jvt.
USE OF BUILDING ~J Fi//C-
PERMIT NO. . ()f; r OSz5 DATE ISSUED 7" z,~" ~ b
BUILDER @9-/U., Os PHONE# (,t"z..,,""/~. 33el
NOTE: THIS IS NOT A PERMIT FOR ANY 0F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
Jll4~~~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~ I II; I ?/~~
/"~ .P' I
I FINAL I ~..p /P,.kv~~
" / "'" -
FOR ALL INSPECTIONS (952) 447-9850
~