HomeMy WebLinkAboutBuilding Permit 05-0852
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1/:rO[Q,
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ADDRESS Llq1e
I3ll,rc H k Tr- .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ S -8~L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jd: FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS: L . L. J::'c..,J
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.
;!WORK SATISFACTORY, PROCEED
/ 0 CORRt}CT CTION AND PROCEED
o CORRE T ~~ CALL FOR REINSPECTION BEFORE COVERING
Inspecto -. ! I jJ OWner/Contr:
CA ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. I. 0:5"'
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. ()5. (J 857-+
(Please type or print and sign at bottom)
ADDRESS .
Y cl St~ g \ v-ff, \~ e;: ~~Jj s. 'r,\ ~t.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25: 4{}Z-, (},f1-. (J
OWNER~. C\ \ ~l: ~ ("
(Name)VAi...' ~ c'\. Cc"(:"- --",,-(:(,- /5 ('1.7_'1'
(Phone)
CIS'L Lt I.t "7
bb?) S-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe,Siding
OAddition OAlteration OUtility Connection
ower Level finish 0 Fireplace
CODE: DI.R.C. DI.B.c. ~iSC.
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
2 t?lfS.
PROJECT COST IV ALUE $
(excluding land)
I hereby ccrtity that I have hlrmshed cnfmmation on this applicatIOn which IS to the best of my knowledge true and mITcc!. I also certify that I am the owner m authOrized agent ftlr the
above, mentIOned property and that all Cllnstruction will conform to all eXlsung state and local laws and will proceed In accmdance with submitted plans. 1 am aware that the bUlldmg
official can rev, e t erm!t for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed lnSpectHlns
This Application Becomes Your Building Pennit When Approved
~ I'N
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. 1 ->-(. 1.,.A..o{ . , I-'
Buildlllg Oflicial
9/I/os
Paid
Date
//fJ. 2-1-
f. ;l - "r
,'~+- J ttu;-
,~_./ , Date
# $
# $
$
$ \
# $ 1
# $ 1
$ 1
$ j
$ /4:3. Z.-S- \
ReceiPt'.o, 11'1./ 7
By~ .
U
x
Signature
Contractor's License No.
\.
Permit Fee
z/ ()oo. () ()
(t, 2 25"'
Park Support Fee
SAC
Permit Valuation
State Surcharge
Penalty
Plumbing Permit Fee ~
Mechanical Permit Fee
$
$
$
$
$ ~t/..---
$
Water Meter Size 5/8"; 1";
Plan Check Fee
j, (j ()
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$ "17.---
()i..~.
TOT AL DUE
Date
ThiS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may pmceed as requested TIllS document
when signed by the CIty Planner constltutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a CertifIcate of Occupancy must 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
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 4138 6~_'t~. IK,L.
NATURE OF WORK f;iiii'VJ
USE OF BUILDING :s
PERMIT NO. 05 () D E ISSUED 9. /. IJ S- .
CONTRACTOR ~ PHONE__~. ~
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,
/jP1--
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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