HomeMy WebLinkAboutbLDG pERMIT 10-0294 (L.L./VOIDED) ---
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� CITY OF PRIOR LAKE DATE TIME
. � INSPECTION NOTICE • SCHEDULED
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ADDRESS
OWNER NTR, i
PHONE NO. N�
O FOOTING O P G RI ❑�C, I
� FOUNDATION H �
� FRAMING ❑ 00 FiRE CE R1
� INSULATION HOO P FIRE CE FINAL
� FINAL I L GASU AIR TST
❑ SITE INSPECTI CH L
COAAMENTS:
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O WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED �
O CiORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING I
Inspec.tor. Owner/Contr. I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. I
CODE REQUIREMENTSARE FOR YOUR PERSON�lL HF.ALTH dc S�lFETY!
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oF pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, m � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � Z� ( O
� :=���" ` � AND UTILITY CONNECTION PERMIT
U s �
M�A'NESD�P 1 Whrte File
qC� � G15Q,. 2 Pmk ��� PERMIT NO. � O � Z
3 Yellow Apphcant
Please e or rint and si at bottom)
�ADDRESS < < ZOIVING (oef'ice use)
� Q� �.z � r��� I�� ��� L�.�e r�,� s
LEGAL DESCRTPTION (office use only)
LOT BLOCK ADDITION PID
OWNER '� `�
(Name) 1 w'L - e� (Phone)��'SZ, ) Z�� d�q f
(Address) '{ l�� 0�-( t,,.Q_ �} ►� V'�c �' N�
BiJII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg �I,ower Level Fimsh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
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
Division: - 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished mformahon on this appl�cahon wh�ch is ro the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for the
above•menhoned propeity and that all construction will conform to all exuting state and local laws and will proceed m accordance wuh submitted plans I am aware that the buildmg
official c revoke th�s per �t f r�ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded inspections
X ,�ul�l�
a Contractor's License No. Date
Permit Valuation 3(JU U, v Park Support Fee # $
Permit Fee $ 7 'S SAC # $
Plan Check Fee $ Water Meter Size 5/S"; 1"; $
State Surcharge $ � S Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �L` �I Water Tower Fee # $
Mechanical Permit Fee $ • Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ ---�. TOTAL DUE $ ���_'�f��
f
This Applicat' mes Your Building Pernut When Approved Paid ReCei t No.
� Z � l v Date B
uildm�� Ufticial Date
Th�s is to cert�fy that thc requcst m the above appLcation and accompanymg documents is m accordance with the City Zomng Ordmance and may proceed as requestcd This dixumen[
when s�gned by the Ciry Planner constitutes a temporary Certtficate of Zorung compLance and allows construchon to commence Before occupancy, a Certificate uf Occupancy must be
issued
Planning Director Date Special Condifions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
P R I R LA DEPARTMENT OF
K E BUILDING AND INSPECTION
INSPE TI
C N RE R
O C D
O
SITE ADDRESS / �C� � 7 ��-U� �'�/�� %`��
NATURE OF WORK Ol�/�7"� E1/ L.1-
USE OF BUtLDING f � f' /�-
PERMlT NO. � O. D Z -� DATE ISSUED . Z� -/ 0
CONTRACTOR lJ �il/ PHONE �'33 . 0�g /
NOTE: THIS IS NOT A PE MIT 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
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
and maintained until all inspections have been approved. On buitdings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850