HomeMy WebLinkAboutBuilding Permit 10-0922 D TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �` ``���
ADDRESS �
OWNER CONTR.
PHONE NO. PERMIT NO. �� �l/l/
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL t.• L, F/NA-L ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: Go v` !L
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W CALL FqR REINSPECTION BEFORE COVERING
Inspector: er/Contr:
CALL FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
INSHOTI
� o����P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� I� \� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
UU AND UTILITY CONNECTION PERNIIT j�` � Z �
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r hNES��
� Wh,�e File pERMIT NO.
2. Pink City O f �
3. Yellow Appiicam
lease or aed si at bottom
ADDRESS ZONING (off'ice use)
� 6 �33 w s� ,�,� � �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �� ,, ` _ ` � O C..K�1J (Phone) l0 � 2 � ��a ' �b Z�
(Name) n N
(Address) � � ^ �\� l�
BUII,DER �� C7 � t��/ � �' /4 /`t �'1�✓�G.�.. ��� (Phone) [ SZ"' "Zll t7 -3 z`� r
(Company Name) �
(Contact Name) �7'� ��I � iJLs�T'� (� � �T'"T'" (Phone) �. ►4''ti^ k
(Address) q �j � � V � T' l,J `� /L �o� � nJ �/2�} �, �'Yt, � ���
'TYPE OF WORK ❑ rre« e onstruction �Deck ❑Porcl� ❑Re-R��oting ❑Fe-Siding �«'er Le��el Fini.l� ❑ Fireplace
�_�ddition �_�lteration OL�tdit�� Comiection ` �/�
CODE: LR.C. ❑I.B.C. ❑ Tiisc:
Type of ion: I II III IV V A B )
Occupancy Group: A B E F H I M R S U PROJECT COST/VALITE S �/1 Z�
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished informadon on this applicatioa which is to the best of my knowledge we and wrcect. I also certify that I am the owner o uthorized agent frn the
abwe-mendoned property and that all construcuon will conform to all exisdng state and local laws and will proceed in accordance with'sab�itYed n� am awaze that the building
ofTicial caa revoke this permit for just cause. urtLer re, I here agree that the city official or a designee may enter upon the property to perfoTm needed inspectioi .
X �. � Zo 3.�0�$ b rJ ,, 2.0�
Signature Contractor's License No. Da e
Permit Valuation `� v . � Park Support Fee # $
Permit Fee $ � �S" 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 $
Gas Fireplace Permit Fee $ TOTAL DiTE $� CJ �'
This Application Becomes Your Building Pernut When Approved Paid R 1 t NO.
Date !7 . /? ! O B
Buildin Official Date
This is to cer6fy that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. T'his document
when signed by the City Planner consdtutes a remporary Certificare of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, ifany
24 hour no8ce for all iospeedons (952) 447-9850, fxa (9S2) 447-4Z45
4646 Dakota Strcet S.E., Prior L,ake, Minnesota 55371
Residz�ti31 Buildin� Permiz Che�?�ist
Baszme�t Finis� or Iate�or �?ter3ron to Sia��e Famii.;1 Humes
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THIS C�.C'i::..IS"' `�ILST 3� COt`/('L�.7�D .�:`!�i i`�CLL�i ED i`( T7�. BLiLD(�G ?�Z�tii FT.L? TO
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P R I O R LA K E BUIL RNG AND INSPECTION
N PE TI N RECORD
I S C O
SITE ADDRESS /Co �33 Wf"i� U�-1 � ✓� .
NATURE OF WORK LOGt/�l2 l�l/Z
USE OF BUILDING �--s A
PERMIT NO. / a• 2 Z-- DATE ISSUED
CONTRACTOR Z Cvys �i✓.o � .�r��-���'"�---PHONE Z� . 32 9/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCR UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �O ' u <d
INSULATION
ELECTRICAL
PLUMBING ;
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BU�LDINC � �
ELECTRICAL t,�J. (�• � � ��,
HEATING � t � �
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 buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
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FOR ALL INSPECTIONS (952) 447-9850