HomeMy WebLinkAboutBuilding Permit 07-0283 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDUI.ED ,� f Z�//// _
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ADDRESS ��� Cj"p
OWNER CONTR.
PHONE NO. PERMIT NO. � "2�
❑ F0071NG ❑ PlUM81NG RI ❑ EXiGRADiFILLiNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�1 FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
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, � �2,� I .� �s
❑ WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
❑ CORRE , CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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oF PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' � AND UTILITY CONNECTION PERMIT
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M��'NES��P I White File pERMIT NO.
2 PinA Crty D —� �.L p�
3 Yellow Apphcant ��
Please e or rint and si at bottom)
ADDRESS ZONING (ot�ice use)
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LEGAL DESCRIPTION (office use only)
LOT ��LOCK J ADDITION P( M�CZ.. �\ � L� PID Z 5 3 02 rp _O
3
Name � E> � � ��% (Phone) `� Z '�� �� � � ���
(Address)
BUII.DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding `�Lower Level Fimsh ❑ Fireplace
❑Add�hon ❑Alterat�on ❑Utility Connection � �
CODE: R.C. ❑I.B.C.
❑ Misc. I 1` �� �
Type of onstiuction: 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 certify that I have h�mished mformat�on un th�s apphcanon which is ro the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
above-menhoned property and that all construchon will conform to all existmg state and local laws and wiU proceed m accordance w�th submitted plans I am aware that the buildmg
I official can revoke this perm�t for�ust cause Fuithermore, I hereby agree that the aty official or a des�gnee may enter upon the property to perform necded mspccnons
X
Signature Contractor's License No. Date
Permit Valuation ` p Od ,— Park Support Fee # $
Permit Fee $ 34 � SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ � Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other � LL G . � � �„� � $ ( �
Gas Fireplace Pe ee $ TOTAL DUE $ 3� � Z S'
This n Becomes ur Building Pe ' Whe Approved Paid � Recei t No. Z —
4 0 Date p B
Bu dm�� Uttici � te
This is to certi that e reques[ m the above appLcatton and accompanymg documen[s �s m accordance wuh the City Zomng Ordmance and'RMly proceed as requested Thts document
when signed by t City Planner consnmtes a temporary Ceruficate of Zonmg compliance and atlows construcnon to commence Before occupancy, a Ceitificare of Occupancy must be
issued
Planning Director Date Special Condidons, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372 �
P = I O R LA K E BU DRNG AND INSPECTION
I N P E TI ���
C N
RE RD
SITE ADDRESS 5� ��j G��ss�,s V��- �-
NATURE OF WORK E_-�►�. �.�.
USE OF BUILDlNG R�s 4�
PERMIT NO. �? � 2�� DATE ISSUED 9 30 0�
CONTRACTOR _��� ��� PHONE °( Sz - d� �_� 9 3�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
N (Prior to Backfill)
PLACE MO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ATER / SEPTIC
FRQMING � � S�-y3'�
INSULATION
ELECTRICAL
HEATING (if required)
FIREPLACE G� �
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
�� (Prior to Sodding)
BUILDING
ELECTRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE FiAS BEEN SIGNED
PIQTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
, and maintained unti! all inspections have been approved. On buildings and additions _�
- where no service cabinet is available, card shall be piaced near main entrance. }
FOR ALL INSPECTIONS (952) 447-9850