HomeMy WebLinkAboutBuilding Permit 07-0104 TE TIIIAE
CITY OF PRIOR LAKE � n l
INSPECTION NOTICE SCHEDULED [
ADDRESS p� � ���%�J�/`
OWNER CONTR.
PHONE NO. PERMIT NO. �—� O�
❑ FOOTING O PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL D PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
� � .
o I�
❑ WORK SATISFACTORY, PROCEED
� CORRECT ACT ON AND PROCEED
❑ CORREC ; CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH� SAFETYI
wsiron
oF PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� U �
� � AND UTILITY CONNECTION PERMIT
��A'NES��P 1 Whrte Fde
2 Pmk ��� PERMIT NO. �7 � � d�
3 Yellow Applicant
Please or rint and si at bottom)
ADDRESS � Q � ' � � � �+� ZONING (ott�ice use)
/ v�Jv
LEGAL DESCRIPTION (office use only)
LOT � BLOCK � ADDITION �'✓�L �f /�/G�� � PID ?�S , 4�.3 9 �
Na�me R � ("► J � JJ —b /' � ��/ �TZ/a ,�T 2— (Phone) C� � Z � b / J � ��� �
(Address)
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone}
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fmish ❑ F�replace
❑Add�t�on ❑Alteration ❑Util�ty Connection � ,L
CODE: �I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby ceruCy that I have h�rnis on on this appluation which is to the best of my knowtedge true and correct I also certify that I am the owner or authonzed agent for the
above-menuoned properry an that all constru o 11 existmg state and local laws and will proceed m accordance wuh submitted plans I am aware that the buildmg
official can revo this permit r� , ree the city official or a designee may enter upon the property to perform necded mspections
X
3��-a�
S�gnature Contractor's License No. Date
Permit Valuation ¢ U b �, Q� Park Support Fee # $
Permit Fee $ � � 2� SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 2 (J Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $ �
Plumbing Permit Fee $ �� (� � Water Tower Fee # $
Mecharucal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other EL $ `_ �J C�
Gas Fireplace Permit Fee $ Q� �� TOTAL DUE $/ O
This Application Becomes Your Building Permit When Approved Pald �7� . Z Rece t NO. .� Z� �Q
.. -� Date , �, a B
��O D
Biiildi�i�� Uttici�il �te
This �s to cernfy that the request m the above appl�canon and accompanymg documents is m accardance with the City Zomng Ordmance and may proceed as requested. This document
when signed by the Gry Planner constitutes a temporary Cernficate of Zonmg comphance and allows construction to commence Before occupancy, a Ccruficate of Occupancy must be
usued
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
�' f ;��;�TMENT t3F
�� R L� �� x��DING AND INSPE�TION
�
I �PE
CTI
O
R�
SiTE ADDRESS Z�2 � � � � �I�
I� �T�` RE OF WORK � �� �' � �,,.�.
USE OF BUILDIN ^� �..�-
PERMIT NO. ! TE ISSUED
GONTRACTOR PHC'�NE I ��i► �.�' ��'
I�OT�: THIS IS NOT A PERMIT FOR �;Y 4F THE IN�PECTIONS BELOW
THE PERMIT IS BY SEPARA�TE - �OCUMENT
{� .
INSPECTOR DATE
�LACE NO CONCRETE UNTlL ABOVE HAS BEEN SIGNED
ROUGH - INS
�RA�IIIING
INSULATION
ELECTRICAL
PLUfdIBING
NEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE�N StGNE�
��
FINALS
BU �IL�IN G
ELECTRICAL
PLUMBfNG
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOT{CE .
This card must be posted near an elec�rical 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, crrd shall be placed near main entrance.
FOR ALL INSPECTIONS {952� �" °�� "���