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HomeMy WebLinkAboutBuilding Permit 05-0501 pATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED / ! l l ADDRESS � � 4 � (� r 1��j(J�Q�1j �l ,� OWNER CONTR. PHONE NO. PERMIT NO. �j —• �j� j ❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION � MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL �-FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: Cr. . L . ���, S � � �� � �� � I WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! iNSNOn oF ra� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � 2' U j �' � AND UTILITY CONNECTION PERMIT U p. M�NNES��P I Whire F,�e pERMIT NO. Q,; pS0 � 2 Pmk City 3 Yellow Apphcant Please e or rint and si at bottom) ADDRESS ZOIVING (ot�ice use) / 7U � 7 Cti/ � d�-i ��U'F�..1' �s/C_- /2 (�.5�l� LEGAL DESCRIPTION (off'ice use only) LOT Z.3$LOCK � ADDITION aEC ��lQ-'� PID Z� 370, G 7�_ O OWNER ' � � (�� � 7 �f (' (Name) 1`u� �P% � `� � �` - (Phone) � � "_ � 1,'� " �� � � (Address) BIJILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Consuuchon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fimsh ❑ F�replace ❑Addinon ❑Alteration ❑Utility Connecuon �? �f: CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Consriuction: I II III N V A B PROJECT COST/VALLTE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby cert� ha ished mformahon on pl anon whuh is to the best of my knowledge true and correct. I also cernfy that I am the owner or authonzed agent for the above-ment ne o and that all construct co rm to all exisnng state and local laws and will proceed m accordance with submitted plans I am aware that the bmldmg officiaJ ca rev �mit for�ust cause or ereby agee that the city official or a designee may enter upon the property to perform needed mspect�ons X ��-� � ��Z`�' O� Signature Contractor's License No. Date Permit Valuation 3� G p p. U(� Park Support Fee # $ Permit Fee $ � 7�" SAC # $ Plan Check Fee $ �,,, Water Meter Size 5/8"; 1"; $ State Surcharge $ �""f) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee Q � �,(� (� Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other �'Z�:'LT7l�J� $ f� � Gas Fireplace Permit F e � � Q U TOTAL DUE � J r-� . Z. ' This A at ' ing Perntit en pproved Paid / . Z,S ReCei t NO. Z R Z 0� Date 5, 7_G.T B S Bui dma Ufticial D e This is to cernfy that the request m the above appLcauon and accompanying documents u m accordance wrth the City Zomng Ordinance and may proceed as requcsted Th�s document when signed by the City Planner consumtcs a remporary Certificate of Zonmg compliance and allows conshucnon to commence Before occupancy, a CcrUficare uf Occupanty 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 1 R LA K E BUPLDING AND INSPECTION PR O � RD IN PE T I N i� E SITE ADDRESS ��� `� ���'�E�` �� C� NATURE OF WORK L o(,,/E,�. �'�/�L... USE OF BUILDING �-f' �/�- PERMIT NO. D�. o�'a � DATE ISSUED �• �7- a� CONTRACTOR ��D� PHONE 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 R�UGH - INS FRAMING � � �7 �d INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST � COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING / Zo i� 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 buiidings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850