HomeMy WebLinkAboutBuilding Permit 10-0345 D E TIME
CITY OF PRIOR LAKE /'
INSPECTION NOTICE SCNEDULED `O Q�
ADDRESS �I SC�
OWNER CONTR.
PHONE NO. PERMIT NO. , �' ,_
❑ FOOTING � PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION 0 MECH Rt ❑ COMALAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
, ❑ ,, �NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�INAL O PLUMBING FINAL � GASLINE A(R TST
�O StTE INSPECTION O MECH FINAL ❑
COMMENTS: , �(t�BkS1�
G c.pS�S l.�'
WORK SATISFACTORY, PR9CEE0
❑ CORRECT ACTION AND P Eb
❑ CORRECT ALL FOR REINSPECTION BEFORE COVERING
I�spector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSON�iL HEALTH dc SAFETY!
Uvslvot�
oF PRlp CITY OF PRIOR LAKE BUILDING PERMIT, D te Rec'd
,, ,°�_- ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' � §� � � AND UTILITY CONNECTION PERMIT � �' �
V :: • 7S
.�
M��'NES��P I Wh�[e F�le pERMIT NO . ��L�
2 Pmk City J
3 Yellow Apphcant +
Please e or rint and si at bottom)
ADDRESS ZONING (oeeice use)
�yo�3 �s� A��., P�,o� �.�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
owivEx �^ 1 ' / /� g
(Name) (i � r �3 �oe )w�' �! ��� � � (Phone) b �o� � � 6�1 " 7 �D $
(Address) � y�� T�S M� ��c, Pr. o �+ �q xv � J 70�
BUII.DER
(Company Name) (Phone)
(Contac� Name) (Phone)
(Address)
TYPE OF WORK ❑ New Constr ct on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Additwn �lteration ❑Util�ty Connection
CODE: �I.R.C. ❑I.B.C. RDO ❑ Misc.
Type of Constcuction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have h�mished mformanon on th�s applicahon which is to the best of my knowledge true and correct I also ceit�fy that I am the owner or authonzed agent for the
above-mennoned property and that all construchon wtll conform to all exuting state and local laws and w�ll proceed m accordance with s�bm�tted plans. I am aware that the buildmg
ti official can revoke t rmu for Fu rmore, I hereby agree that the c�ty official or a designee may enter upon the property to perform needed mspechons
'X
Signature Contractor's License No. ' Date
Permit Valuation � Park Support Fee # $
Permit Fee $ � SAC # $
Plan Check Fee $ ( ,� Water Meter Size 5/8"; 1"; $
State Surcharge $ o 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 DiJE � j $� 6
This Ap ' atio me ' ding Pernut Whrn A ro d Pald �j �./ . Cel t No. �p 4�Z-
Date /. /O -
(v
Bu��ai �� U ioia� ac
This �s to c that the iest m above applicaaon and accompanymg docu nts is accordance with the City Zonmg Ordmance and may proceed as requcsted Th�s document
when sign y th ity < n r ary Cert�ficate of Zoning co l�anc and allows construcnon to commence. Befure occupancy, a Cert�ficatc of Occupancy must be
�ssued /—' �
� s � a
Planning Date Special Condi6ons, if any
24 hour notice for a�l insnections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
P R i O R LA KE B UI�LDRNG AND INSPECTION
IN PE
TI N RE
RD
SITE ADDRESS l�{o� 3��s c«�. �v�.�
NATURE OF WORK .4.c� Tc� C-x �sr��� C�N,�vE
USE OF BUILDING � �-
PERMIT NO. I O. � DATE ISSUED s� ro
CONTRACTOR GH� � sr•�c� �.'�- c�� PHONE ��Z • 3�- �'�&b
NOTE: THiS iS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU�IEI�T,,,� q� �„ �„�ES
CA�T12+�(� G�2-�j � 4l� -�- �1 /�• T!�' �� C(..CS'4' J �p11SPECTO�R � DATE
��
1�M�bN (Prior to Backfill) w� � a� �a
PLACE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED
ROUGH - INS
��1i1��R ! SEPTIC
FRAMING 4 � t, r�
INSULATION ,� .
ELECTRICAL �
��
(if required)
� " R TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
Prior to Soddin )
BUIL�ING � 1p �
ELECTRICAL (`jt1,
��
�
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This ca�d must be posted nesr an electricat service cabinet prior to �ough-in inspections
and maintained until all inspections have been approved. On buildings and addltions
where no service cabinet is available, card sha{I be piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850