HomeMy WebLinkAboutBuilding Permit 05-0175 DATE TIME
CITY OF PRIOR LAKE I ,
INSPECTION NOTICE SCHEDULED f�
ADDRESS �`� �(�e �obC�
OWNER CONTR.
PHONE NO. PERMIT NO. � I�"� P
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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2
.
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O , CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
INSNOTI
oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, , 7 pS
v '�
AND UTILITY CONNECTION PERMIT
�
M��'NES��P 2 1'm �;� PERMIT NO. O 0
3 Yellow Applicant
Please e or rint and si at bottom)
ADDRESS 2 �� � � a � �� �, �� ZONI (office use)
/�. J
LEGAL DESCRIPTION (office use only)
LOT /SBLOCK / ADDITION GI/fL/,'� SC)� PID Z.� �Z, Q/� Q
� � �° �'Ef 1.� � ���r� l�l �° / � 4° �_ (Fhone) � ��— �,l u S— S � S(
(Address) �
i
BUII.,DER
(Company Name)_� i � Z (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fmish ❑ Fireplace
❑Addition ❑Alteration ❑Urility Connection ❑ Misc. � /�Sa
(.
CODE: ❑I.R.C. ❑I.B.C. PROJECT COST/VALLTE $
Type of Construction: I II III N V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
I hereby certify that I have himished mformahon on this appluanon which is to the best of my knowledge true and conect. I also certify that I am the ownrr or authonzed agent for the
above-mennoned property and that all constnuhon will conform to ali ex�shng state and local laws and w�ll proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for �ust cause Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform needed mspedions
x ,����'� ��/�X��yz�.�.,. 3 -- �-4 �
Signature Contractor's License No. Date
Permit Valuation ¢ 0 D �, v � Park Support Fee # $
Permit Fee $ 7 ZS SAC # $
Plan Check Fee $ �� Water Meter Size 5/8"; 1"; $
State Surcharge $ Z � 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fe d N $ �. Q Q Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other �L�i �'�� $ /. U�
Gas Fireplace Permit Fee $ E� ���� TOTAL DITE $ Q Z S
This plicario comes Your Building Petrnit When Approved Paid ��. ZS� Recei No. B�
Date 3 9_�r B
�' � LJ�
B uldm�� Otlicial Date
Th�s is to certify that the request in the above appl�cat�on and accompanying documents is �n accordance with the Ciry Zoning Ordinance and may proceed as requcstcd. This document
when signed by the City Planner constrtutes a temporary Certificate of Zonmg comphance and allows construction to cammence. Before occupancy, a Cert�ficate of Occupanty must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for �II inspections (952) 447-9850, fAx (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
P � 1 I R LA � E BUP DRNG AND INSPECTION
.
PE T N RE RD
IN I
S1TE ADDRESS Z�Z � ����� ���� w�'`
NATURE OF WORK Gdw��- ����Z
USE OF BUILDING � �..s ���
PERMIT NO. 4�. d��S DATE ISSUED 3. � oS
CQNTRA►CTOR ��C�'/"?�/E12 PHONE 4�s. 3"�S�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMlT IS BY SEPARATE DOCUMENT
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P�ACE NO COIdCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAM�NG
iNSt�LJ�►TiON
Et� f�AL
Pl�tl�AASING
MF.�4'�N� if uirec�
FiFtEPLA�E
�AS LINE A!R TEST
GU1tER NO WORK UNTIL ASOVE HAS BEEN SIGNED
F11�1A�S
eu1�t�1��
E�c��c��
PLUM8ING
HEA1'ING
�1'JJ NOT OCCUPY UNTIL ABOVE HAS BEEN SIt3NED
N4TiCE
This a�d must be posted near an electrica! s�rvice cabinat prior to rough-in irt�pscddt�s
�nd maintain� unt11 all inspeec#ions have !�n approved. On buildings and additians
where no servias cabinet is availabie, cani shaN be piacxci near main aMrancc�.
FOR AL1. INSRECTi�NS {952) 447-9$50