HomeMy WebLinkAboutBuilding Permit 08-0902 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ��O � C.����otQ R�.Q� Tr—
OWNER CONTR.
PHONE NO. PERMIT NO. �^ 1 Q�
C] FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
� FRAMING � WATER HOOKUP 0 FIREPLACE RI
0 INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL O GASIINE AIR TST
O SITE INSPECTION O MECH FINAL ❑
COMMENTS:
1 �
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� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O K, CALL FOR REINSPECTION BEFORE COVERING
i nspector: OwnedContr:
CALL 7- 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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OF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �D Z�. a�
�' == °y � `a`=� �' AND UTILITY CONNECTION PERMIT �
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M��'NES��P I Whne Fde pERMIT NO. f� ���
2 Pmk City
3 Yellow Apphcant �� /
Please e or rint and si at bottom)
ADDRESS �Q � � �� vt Q �� �R 7r ,5,� ZONING (off'ice use)
ri'� r C-� k-c.. r`� �,, s-3"3 7�-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ,�.(� Ll.�l�l (�i'V Y� (Phone) �( o�. 02�� b� q �
(Name)
(Address) --- s � �—'
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace
❑Addit�on ❑Alteration ❑Utiliry Connecnon
CODE: ❑I.R.C. ❑I.B.C. � Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have h�rnished mformahon on this appLcatton wh�ch is to the best of my knowledge true and correct. I also ceR�fy that I am the owner or autharized agent for the
atwve-menUOned property and that all construcnon will conform to all ex�shng state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
official can revoke thtis per r � cause Furthermore, I hereby agree tha �cial or a designee may enter upon the property to perform needed mspecuons.
X 10 ��71��
Signature Contractor's License No. Date
Permit Valuation z Q O a� D� Park Support Fee # $
Permit Fee $ Z LS" SAC # $
.
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ �_ v v Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $
This Applicarion Becomes Your Building Pernut When Approved Paid 3, L Re i t NO.
Date
Build�n Utiicial Date
This is to certify that the request m the above apphcation and accompanymg dowments is m accordance wuh the C�ry Zomng Ordmance and may pioceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compLance and allows construcnon to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director Date Special Condidons, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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P R I O R LA K E BUI�.DRNG AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS � C�/ L���:��� �✓� � � � %%�9� �
NATURE OF WORK ���i1/�/� �'C��2,- � �?-���.
USE OF BUILDING �" �
PERMIT NO. f� .� d� DA E ISSUED C`� � �J
CONTRACTOR � U' �'�-� PHONE lo / Z- ��`% d/ /
NOTE: THIS !S NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-- --- ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ - FINALS
BUILDING
ELE�TRICAL
PLUIIABING
HEATING
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