HomeMy WebLinkAboutBldg 05-0190 and Bldg 07-1024 DATE TIIiAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �
ADDRESS y�� '�J ��V� ��s�
OWNER CONTR.
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PHONE NO. PERMIT NO. �— �p;t `�(
❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH F1NAL ❑
COMMENTS:
a
�
�Oi1 � I � �
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE O K, CALL FOR REINSPECTION BEFORE COVERtNG
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
Lvsxor,
Q � PRJp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONIIYG COMPLIANCE . � � � U � �
`v x
AND UTII�ITY CONNECTION PERNIIT
�
y �NIMES��� 2. ��, �PERMIT NO. ��� O/ c� �j
3 YWow Aplipq� �
O[ � � � i«
ADl)RESS ZON1Nt� (o�riae u�e)
�S� a LC� � ff,� ! Cz �S I �-
LEGAL DBSCBIPTION (otsoe uae oaly)
LQT � BLOCK 3 ADDITION 2��O Z �//_? $£(Z C 1LEST f'�� K pID ��r,/O Z, 07Sd
��� �►4V I �J % �4�i�t � �A1C-c�L/4 H-�Cr� Dc,ls. {pho�� 9�Z- �lU7- 4/ZL
(Addreas) � Sg /3 L U F�' ffEl f.�-HTS 'T2L
BTJII.DER
(�P�Y N�? {Phoae)
(Contact Nama) {��)
�Address)
TYPB OF WOBK Q New Conmuctim (JDedc []� C�-��8 0� [svet Fimrh O Ficeasae
{]Addition �Aloecation �UtilitY Con�ioa ❑ I�S'iac. � �/?J
[
� conE: �.c. pi.s.c. rgo�rr cosrivaLVe s
� ofc�: I II � rv v A s �u��a �
Ooc�pa�ncy Crroap: A B E F H I M B S U
Diwior: 1 2 3 � 5
t 6e,eey aertA�, teu t t�ave turoiahea iofarertioo an mia appieation waicn 's oo me eest at ,uy mowled�e ave a+a aanect. t atro arUty mu 1 am mr u�veer or autmriuee a�mt ror er
�ama�osed prapaty and tl� � ootWtuctim w�l eaabrm to a0 esi�ina �e m! local lavrs md wi6 pmcaM ra axaNana wiM mU� pisas. 1 ae a�rare tdt tbe buii�
afl3cia! can xwoke pennit for' aose. PWtl�ae. I haebg �gree dfat the eiry ofi'iciat ar a desig� may mtv up� � ptopety m petorm oeeded wpect es.
x �� �� 3 f�OS
� Ooo�a�': Liom�e No. D�oe
Famit Vafn�mon � U o D �j Cj Park Suppa�c Fa # S
Peimit Fa S �<�, 7�' SAC # i
Plan C6ed� Fee S Water Mtoer Siu 5/8"; I": i
Stace Start►arg,e s �<--� Pres�+e R�eduoer i
Penalty S Sewer/Waaer Co�ec�on Pa � S
PHanbing Permit Fa S — Wata Toaer Fa # i
M�echanical Permit Fee t Bwlder'a Depoat Y
sewer d� water p«u�u Fee s � L- u s �. (� O
Cias FinplaQe Pamit Fee S - TOTAL DUE �
TLie A}�tion Beooa�es Yo.z � Yermk wiea Ap�el Paid .:3fo. 5 0.
Date 3, /�t vS B
Build� tmicia� D�ee
7hs n to aer�Jy �t dx reqnex in d�e above apyGwrion aod aoonn�nya� doconKaa is ie axonda�ce wufi Arc Cxitr Zaaiee Ordr�t �nd mY Pn�eed a� rcqrcNed. T6u doc�a
wken si6ned br tke Cuy Pl�mer corotiwtca a temporary+ Certi6caoe d Zaoio` compiisnce md a0avs coosnudion to oo�eaoe. De[ae oacapoacy. a C7ecri6woe aFOac�ncy �nt 6e
i�ued.
7A Ys�r �etia tor all i�o�s (9521447 953�. 6x ('1� M7-4145
16200 Bagle Creelc Aveaue Prior I.elce, MN 55372
�� ��
oF rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �
� AND UTILITY CONNECTION PERMIT �� Z Z' d
U � p �
�C�fi� Q 6 , �� /�"(/
M��'NES��P I White File
2 Pmk ��� PERMIT NO. 6'7 �'���
3 Yellow Apphcant
Please e or rint and si n at bottom)
ADDRESS � ZONING (ot� use>
��5� - �J 3L-CJ/� /'Tr/� Gl'I�T.S �(r .
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) /�1�/D 7�M f!'�✓G�E1i1�' /� �q �QCJ.J (Phone) g��,
(Address)
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish ❑ Fireplace
❑Addinon ❑Alterat�on ❑Utility Connect�on ��{-��f�j � �`
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. � /2�6.�„
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 cernfy that 1 have hrrmshed mformat�on on th�s apphcahon whuh is to the best of my knowledge true and conect I also cerufy that I am the owner or authonzed agent for the
above-mennoned p perry and that all construcuon will conform to all existmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
official can revoke is permrt for st cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspecuons
X /1>/iz�o7
Signature Contractor's License No. Date
Permit Valuation � 0 p p��`U Park Support Fee # $
Permit Fee $ 3� ? f" SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ , f'(� Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ !.�-� , O O Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 7.JT Z s
This Application Becomes Your Building Pernut When Approved Paid �• R t No.
Date O . 'L'Z- - � '
Bu�idm�� Utliaal Date
This �s to cemfy that the request m the above appluanon and accompanymg documents is m accordance wuh the City Zonmg Ordmance and may proceed as requcsted Th�s document
when signed by the Gty Planner constitutcs a temporary Ceruficate of Zonmg comphance and allows construcuon to commence Before occupancy, a Cert�ficare 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
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
P R 1 O R LA KE BUILDING AND INSPECTION
RE ORD
INSPE TI
N C
SITE ADDRESS �� �G v�� �E ��� �
NATURE OF WORK � OGd� L�?//� L-
USE OF BUILDING /�s ��/�-
PERMIT NO. D�': O/ a DATE ISSUED -3 /8. vS
CONTRACTOR � S PHONE 4�7. ¢�Z Z
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMiT 1S BY SEPARATE DOCUMENT
WSPECTOR DATE
Pi.ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING � 1 0
INSULATION
ELECTRIC L
�Sv
H uireci
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
gvi�aiH�
E -
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be post�d near an atectricai se�wice cabinet prior to rough-in inspections
and maintainsd until all inspsctions have bean approved. On buildings and additions
where no servioe cabinet is svailab�, csrd shali be placed near main entrance.
� FOR ALL INSPECTIONS (952) 447-J850