HomeMy WebLinkAboutBuilding Permit 09-0451, 0452 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / Z /�
ADDRESS �„� �y �q�� ��
OWNER CONTR.
PHONE NO. PERMIT NO. ( ^L[S'L
O FOOTING ❑ PLUMBING RI O EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�INAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTIO AND PROCEED
❑ CORRECT W RK, L FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 44 8 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
/NSNO?J
oF pRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.� =: - .: .,. � (� � Z ¢� 0
�' � x AND UTILITY CONNECTION PERMIT
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M�n'NES��P I Wh�te F�le pERMIT NO. /�
2 Pink Citv � c7 ' O �
3 Yellow Applicant ( � �
(Please e or rint and si n at bottom)
ADDRESS ZONING (otTice nse�
l�!!�1 /!� /S� /hA-�,.) /�/E s •E .
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) H IG� ��T �,��d1s M�1 d w� (Phone) � S 2' L�" 3
(Address) ,3 S �1 rA/ J � � �. f� t�C L,/�F��'c /'/�1 �1
BUII,DER •
(Company Name) ���e�. C�,nSTj�r (Phone) �l
(Contact Name) ��i�l� SW 61li1� �� (Phone) �'jS 1-' �2Z' S.S! L
(Address) �jQ b2 J�l�m fdr/ � NL � Z
TYPE OF WORK ❑ New Construct on ❑Deck ❑Porch ❑Re-Roofing ❑Re-S�ding ❑Lower Level Fmtsh ❑ Fireplace
❑Add�non �Alteranon ❑Util�ty Connechon
CODE: ❑I.R.C. �I.B.C. ❑ Misc. � T �G'L
Type of Construction: I II III IV � A� pROJECT COST/VALUE $ Z �O�
Occupancy Group: A� E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby cenify that I have h�mished mformaaon on th�s applicat�on wh�ch �s to the best of my knowledge true and correct I also certify that I am the owner or authorizcd agent for [he
above-menuoned propeity and that all construchon will conform ro all exisung state and local laws and will proceed m accordance with submrtted plans I am aware that the buildmg
official can r this peimit for ust cause Furthermore, I hereby agree that the ciry official or a designee may enter u on the property to perform needed mspectwns
X d'�2'�,�n ��,ac.G,�✓�- 7g 4Q ��w� � t3
Signature Contractor's License No. ate
Permit Valuation �� �� r� - Park Support Fee # $
Permit Fee $ . �� SAC # $
Plan Check Fee $ �, Water Meter Size 5/8"; 1"; $
State Surcharge $ � 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 Pe t Fee $ TOTAL DUE $ �
e
This A 'o comes Your Building Pernrit en pproved Paid R 1 t NO. (J,S
U Date
i na U ticial Date
This is ro ce that th quest m the above appluanon and accompanymg ocument is m accordance with the City Zonmg Ordinance and may proceed as requested This document
when signe t Ci lann tutes a remporary Certificate of Zoni compli ce and allows construcnon to commence Before uccupancy, a Certificate of Occupancy must be
issued
�D
Planning Director Date Special Conditions, 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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FC�FF� Ti�f,� �'E.A�"�f ��.r (�� ��,•� �n this
(3 '�T�,L TiMES. ��
Separate permt�s are required
for Plumbing, Heating
�
Electrical, etc.
F �/�.�- Sv �� 2..�s`! vnJ
P R I R LA K E �BUP DRNG AND INSPECTION
INSPE TI N RE R
G 4 C D
O
SITE ADDRESS � � I 5 �- �4-�nr �v� • � •�a
NATURE OF WORK �1 4. o�.f
USE OF BUILDING � �
PERMIT NO. � ��2-» DATE ISSUED � '
CONTRACTOR �.�C.�t.e4 ��sT_ PHONE 95z�-R� •��lz
NOTE: THIS IS 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
ELECTRICAL
PLUMBING
HEATING�iir���)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
�'" I �= --�—��. �� �� 2�''SS f �
, FINALS
'or to Sodding)
BUILDING • -W C ' s ` �
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 untii 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