HomeMy WebLinkAboutBuilding Permit 06-0488 TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS �S� S GL
OWNER CONTR.
PHONE NO. PERMIT NO. � � � ��
❑ FOOTING [7 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O , CALL FOR REINSPECTION BEFORE COYERING
f nspector: OwnedContr:
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FDR YOUR PERSONAL HEALTN dc SAFETYI
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oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ;� >� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' P q ,; � AND UTILITY CONNECTION PERMIT
.,
V } �7
M��'NES��P 1 Whrte F�le
2 Pmk �,� PERMIT NO. ,� �
3 Yellow Apphcant
Please e or rint and si at bottom
ADDRESS ZONING (ot�ice use)
��" 3 g3 � i 1���
LEGAL DESCItIPTION (office use only)
LOT � BLOCK � ADDITION r �� PID�� �/� � O��``
owivER � � q5�a �140 ��4�
(Name) � T(Z l CK �. V � 1 C� t�T (Phone)
(Address) ��3 gJ� B( � S N W L� MN �.�.3 � 2
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcnon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Fin�sh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Constiuction: I II III N V A B 3 Q("j� ,�
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereb ertify that I hav fivmshed mformation on this apphcanon which u to the best of my knowledge true and correct I also cert�fy that 1 am the owner or authonzed agent for the
abov enhoned proper and that all cons hon will con r o all e �snng state and local laws and will proceed m accordance wrth submitted plans I am aware that the buildmg
offi al can revok th rt for � c �rtherm e ;y agr hat the ciry official or a designee may enter upon the property to perform necded mspechons.
X � ��/v�
Signature Contractor's License No. Date
Permit Valuation � �.�Q _� Park Support Fee # $
Permit Fee $ �, �� SAC # $
Plan Check Fee $ l,.f' Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ L � — Water Tower Fee # $
Mechanical Permit Fee $ , Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Applicarion Becomes Your Building Perntit When Approved Paid ' ReCel t No.
��� Date B
7 66
Bu�ldm�� Otlicial �te
This �s to cerhfy that the request m the above applicanon and accompanymg documents �s m accordance with the CiTy Zonmg Ordmance and may proceed as requested This document
when signed by the Gty Planner constitutcs a temparary Certi6cate of Zomng compliance and allows construchon to commence Before occupancy, a Certificate of Occupancy must be
�ssued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Buildin� Permit Che��ist .
Basement Finis� or Inter.'or �Iteration to Sin;Ie Famii.y Homes
BY: Date: �j - �` � �
Buildin; P ermit , : PID : � ,n�� ; : .
Site �ddress �5 3 g` 3�/ �`�
L�;ai: L B Subdivision:
Esisun; S trucrure: YES or `f O
CON�'ORtii� T� ZO��i`i G YES �0
ORDI�Y�.i.�CE
yES YO
Is thu an e.tipansion or �e e:.;san; footprtnt or Ref�: co Plaan�;
buildia; heigiz? �
Is the groper� located witfiia the IIood ptaiu? I Rere: to Plannia;
Does tfi.e alt�tion inc:ude an/ addiBOaal !atcFiens'? Rei�. to Plannin; (
, Does the proposed alte:�tion inctLde an� outs-�de� R�:e: to Plannm;
eniranc�s oth� tilan patio door?
Is the propos�d �:se or �e f�is:�e� �ac� or Reir: to Plannin;
alte:a.uon for anyt;�in= othe: than a aor.n2i s,n;le
familv Fioae (oi=ic�, ;:oup �one, da.y csr�, °tc.)?
THIS CHECKLIST �l�tUST BE COI�[PLETED .�YD f1fCLUDED Ti`� T'rIE BL'ILDI`fG P�Rtti(TT FILE TO
l�[ui`(T�IN � RECORD OF THE REyTEtiv.
,
PRIOR LA DEPARTMENTOF
K E BUE�DING AND INSPECTION
IN�PE TI
C C)N RE
C4RD
SITE ADDRESS � S 3 �� J�OrN PGLSS
NATURE 4F WORK
USE OF BUILDI G ''
PERMIT NO. `' , D TE ISSUED • r -
CONTRACTOR GK. ��'r PHONE O` I�
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
o Backffll)
PLACE NO CONCRETE UNTIL QBOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRiCAL
PLUMBING
HEATING (if re uired)
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
�nd maintained until aii 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