HomeMy WebLinkAboutBuilding Permit 05-0721
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS lL.l.t'J12l 1: IAA ~Wht~
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE
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TIME
6- 721
,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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X WORK SATISFACTORY. PROCEED
o CORRE~T CTION AND PROCEED
o CORRE T rftK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: I. J Owner/Contr:
CAL~ Jl,-~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUlL ING PERMIT,
TEMPORARY CERTIFICATE OF ZO ING COMPLIANCE
AND UTILITY CONNECTIO PERMIT
1 White
Pink
'y'ellow
File
City
Applicant
PERMIT NO. OS: 012 /
(Please type or print and si~n at bottom)
ADDRESS
14771 II'~~
lJc \ f
h-.
LEGAL DESCRIPTION (office use only)
LOT21 BLOCK I
~s
a+k
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PIDZ~_ ~>-CJZI(...O
ADDITION
OWNER
(Name)
<;;. e v1 e...
S'~
.s h e.. 6 (AS k \'
(Phone) q t j... - if 4 O-'f~ I :5
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~A-"
(Phone)
(Phone)
TYPE OF WORK
o New Construction ~Deck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh
OAddinon OAlteration DUtility ConnectlOn
o MiscDQc:.\c. f."'"\u~k
~t~ "\C:.. .
PROJEt:'r COST IV ALUE
CODE: DI.R.c. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
u
A
B
(excluding land)
Date Rec' d
/.2--;.05
ZONING (office use)
_?uD
o Fireplace
o~~"r0
_/
I hereby certify that I have h,rmshed mformatlon on this applicatIOn which IS to the best of my knowledge true and COlTect. I also certJty that I am the owner or authOrIzed agent felr the
above.ment, cd property and that all construction will conform to all eXlStmg state and local laws and will proceed in accordance with submitted plans. I am aware that the build 109
~Iinal can coke tillS per~i::ze~more, 1 hereby agree that the city olticial or a deSIgnee may enter upon the propel1y to perform need~ ":~(~ _ D .\
Signature Contractor's License No. Date
J
(/)
I
Receipt No. J}7 /lA //
By/7./q' Y
7'
Permit Valuation Q
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechal1lcal Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PermIt Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIon Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
..-
Paid -----
Date 7.? 7 o.\"
#
#
#
#
$
$
$
I
$ W
$ '\ C. Y f\
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J
$
$
-
TIllS IS to certify that the Ul the above applicatIOn and accompanymg docume ts IS m accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIt PIa er cuns':ltutes a temporary Certificate of Zonmg com ance i allows constroct1l1n to commence. Before occupancy, a Certificate of Occupancy must be
ISsued /3 2?ffh
............... Planning Director / Jl<tte - Special Conditions, if any
24 hour notice for'all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
PRIOR LAKE
INSPECTION
RECORD
- (,'~ fapr- LV" ( f- T;-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Il\ 7.7 ,
TYPE OF WORK ~cL(
USE OF BUILDING S~I .
PERMIT NO. rJ5 072/ DATE ISSUED 1 /~7!n~
BUILDER S//5/J'UJlc/1 PHONE r 4-'4- O. 4&,(3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
AS~CTOR J DATE I
FOOTING I /r/.> I 7/27/09
PLACE NO CONCRETE UNTIL AWYE HAS BEEN'~IG~ED
FRAMING I Ir/~ I 712)/6~
, ,,-
/11 /J
Call between 8:00 and ~:oo A.M. lor !:i.?pectl~n~jo/~
FOR ALL INSPECTIONS (952) 447-9850
FINAL
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