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HomeMy WebLinkAboutBuilding Permit 04-0054 OATE �ME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED / 2p f ADDRESS � OWNER CONTR. PHONE NO. PERMIT NO. 7" ��� ❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING ❑ FOUNDATION O MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAI �.FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST �O SITE INSPECTION ❑ MECH FINAL O COMMENTS: ` '� r T � k2rQ ��►,� 1v.ir- , W i�' C�Q1N1�Q i' (n r u Ul 2W n2l1M:} �.t� Vl �p�Q�l`c�12�" IS � �.P ,� C����, ' ,�. 1 `"" ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACT ON AND PROCEED ❑ CORRECT OR , ALL FOR REINSPECTION BEFORE COVERING I nspector: OwnedContr: CAL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY! ursnort DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � . �— . ADDRESS 313�( 7 `WaO�o�/ � � OWNER CONTR. PHONE NO. PERMIT NO. � I - D G� � ❑ FOOTING O PLUMBING RI ❑ EXIGRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT �FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL 0 COMMENTS: L �- � � �, 1e.l�'..� � v�s� c�, � 2 � �L ,��,. �Pd G� �t- Se��.�, I�e.�.; �. �'•Jl�. �� 3 . .ikg�.CQ. �'� b(�.��`�, �; � ��k.4.f %� RK SATISFACTORY, PROCEED CORRECT TION AND PROCEED ❑ CORR T K, CALL FOR REINSPECTION BEFORE COVERING Inspector OwnedContr. CAL 44 - 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! nvanor, oF ; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �;; �- ` ��� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z � t; � l� v-" � AND UTILITY CONNECTION PERMIT M �Nxeso� P , Wn,te File pERMIT NO. 2 Pmk City O�i oo � 3 Yellow Apphcant / Please e or rint and si at bottom ADDRESS ZONING (ott use) �/ � � L U � /Z/Sj� LEGAL DESCRIPTION (ofPice use only) LOT BLOCK ADDITION PID .3 7/ 2 J. � OWNER (Name) DD lt (Phbne) �.5�- -a�6 -- ��y�� (Address) BUILDER (Name) (Phone) (Contact Name) (Phone) (Address) TYP� OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding �ower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection ❑ Misc. 3 �' PROJEC'T COST/VALUE (excluding land) S I hereby certify that I have furnished information on this application which is to the best of my lmowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all construcrion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaze that the buil ' g officiai can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede ections. X � • S O - Signature Contractor's License No. ate Permit Valuarion 3 � � O 0 Q Park Support Fee # � $ Permit Fee $ �" SAC # $ Plan Check Fee $ ----+ Water Meter Size 5/8"; 1"; $ State Surcharge $ , so Pressure Reducer $ Penalty $ City SAC and WAC # $ Plumbing Perxnit Fee $ �� Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other C m ��u�.L, $ /. � Q Gas Fireplace Permit Fee _� $� � TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid ,?i ReCe� o. Date , S• O B ' Building Official Date T'his is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and aUows constxuction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date 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 ' { ' n Residential Building Pe�mit Che��iist Bas�ment Finish or Interior �ilteration to Sin�e Fa y Homes !� BY: /�G Date: � � � C'� �� Bnildin; Permit � PID ZOIIIII Site Address L�ai: L, B Subdivision: E�sfin; Strnctnr .� Y��E r YO eo�o��i� �co zo�rG �s No ORDl�TA�CE yES YO Is this an �ansioa of the e.zisdng foot�t or Rafc: to Planniag bu�ldiag hci�'? �` Is the praperty locau3 wit�in the flood piain? I Reie: to Planaiag I �, Does tE�e alte:�uon mc:ude aay additional �tc�ens? I Reie: to Plaaam� I �. Does the proposeri alte�rion iaciude any outsde Refe: to Plaaniag eaBanc� othe: thaa patio doors? � Is t3�e propos�3 use oi the fmisae� s or R�ie: to Plaaaia� altc:3rion for anychin; othe: than a aormal s:a;Ie faraiiv'�ao�e (o�c�. �ou� ho�e. �y csre, e:c.)? � TI�IS Cr�IECKLIST l'IUST BE COtI'IPL�TED :1:YD I`fCLUDED IPf T'r3E BL�ILDI`+G PERtitIT FILE TO l�(.�I`�T �IN �, RE C 0 RD 0 F THE :t�ti'IEti�'. . , . � . . � R I � L�A KE BUP �RNG AND INSPECTION IN PE TI N RE RD SITE ADDRESS ���� `S� C'O�E O%. NATURE OF WORK LOI�t/� !� USE OF BUILDING /'G%�� �9'/l� PERMIT NO. D9�: Or�.S�- DATE ISSUED Z, �- � CONTRACTOR ���h�l�� PHONE NOTE: THIS 1S NOT A PERMIT 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) FIREPLACE � GAS LINE AIR TEST l COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL � PLUMBING 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