HomeMy WebLinkAboutBuilding Permit 09-0592 DATE TIME
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED 3
ADDRESS �Oo�� � �
�
OV1fNER CONTR. _
PHONE NO. PERMIT NO. � �
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILUNG
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAM(NG I� WATER HOOKUP O FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�tNAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FiNAL ❑
COMMENTS:
�.. '
J�WORK SATISFACTORY, PROCEED
/ O CORREC7 ACTION AND PROCEED
❑ CORR C ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe r OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOtJRS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HE�LTH d� SAFETY!
�NSnor,
oF PR�p� 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 1 Whae F�le
2 Pmk o� PERMIT NO.� .�� 2
3 Yellow Apphcant _
Please e or rint and si at bottom)
ADDRESS ZONING (oefice use>
���y � � ��r�
LEGAL DESCRIPTION (of�'ice use only)
LOT BLOCK ADDITTON PID
�aWNER �i� hG�t�� � ��/I ����'" G�� _ (Phone) <J�2� yy� �'�/�.3
(Address} Q L� ah — � l
BUII.,DER
(Company Name) (Phone)
(Contact Name) ��/�P � .✓/9//" (Phone)
� (Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addition �, Alteranon ❑Utility Connection
CODE:� .R.C. ❑I.B.C. ❑ Misc.
Type of Eonstruction: I II III N V A B pROJECT COST/VALUE $�Q�
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
[ hereby ceRify that I have himuhed mformation on this appLcation which is to the best of my knowledge we and correct I also certify that I am the owner or authorized agenc for che
above-mentione property and that all consnuction will conform ro all exisnng stare and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can r e th perm or �ust cause Furth ore, I hereby agree that the c�ry official or a des�gnee may enrer upon the property to perform needed �nspecuons
X � ��v !
Signa re Contractor's License No. Date
Permit Valuation ���� Park Support Fee # $
Permit Fee $ Z y_ � SAC # $
Plan Check Fee $ �( . Z.� Water Meter Size 5/8"; 1"; $
State Surcharge $ .� p 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 $ L�' ,
This plic n Becomes Your Building Pernut Wh Ap roved Paid Recei t NO.
Date B
� �
Bw �te
Th�s u to certify that the requrst m the above applicaaon and accompanying documents �s m accordance with the City Zonmg Ordinance and may proceed �.c requcsted Thts document
when signed by the Gry P►anner const�tutes a cemporary Certificate of Zomng comphance and allows construct�on to commence Before occupancy, a Cernficate of Occupancy must be
issued
Plam�ing Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
R ' DEPA�TMENT OF
P O R L BUILDING AND INSPECTION
AKE
INSPE N RE
O CORD
SITE ADDRESS `•�42 ¢ {�c�+oc,,,,L.��� c�� C.,i4�,�
NATURE OF WORK q�, � .4 �n �.►
USE OF BUILDING �s rz.
PERMIT NO. �- 5l2 DATE ISSUED � Z
CONTRACTOR _ Ro g�.S2.r �c>oSr PHONE 440- (018,3
NOTE: TH1S IS NOT A PERMIT FOR ANY OF THE 1NSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
f�lhfB�4�F!!!N�(Prior to Backfill)
PLACE NO CONCRETE UNTiL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAM{NG 8 p�
.LAiCJiia4i'.11�1.
ELECTRICAL a� '
HEATING (if required)
G
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
9)
�111LDING 3 tu v
ELECTRICAL
��'
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elect�ical 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.
FOR ALL INSPECTIONS (952) 447-9850
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