HomeMy WebLinkAboutBuilding Permit 11-0004 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 'Z (
ADDRESS � v' (p 2 l.. 0.KQ,. Nc�y.Q�.,�
OWNER CONTR.
PHONE NO. PERMIT NO. � � � ('jOD�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL O PLUMBING FINAL �GASLINE R TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: L L ��;
O 5�2 �
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
��- P R IQP
�. � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� �;, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
'� AND UTILITY CONNECTION PERMIT �• 3 � l d
�rN�e�,o,��
� µ �" 1e �'�` pERMIT NO.
2. P�nk Clty // �� O A
3. 1'ellow Applicant �
Ptease or ' t and si at 1rot�om
ADDRESS
Z�1vINCi (ofFice use)
30 (�� L.4KE f�.���N Cv �v i.�.
LEGAL DESCRIPTION (off'ice use oniy)
LOT BLOCK ADDITION PID
OWNER I�� .MGN'l� � 1J�
(Name �J
(Phone) 9� Z' Z�' 4' �t S
(Address) 7 j� (o Z L�� l�,f� U�A� ('r l�I UJ ,
BUII,DER
(Company Name) �U(� ' v� nf�/L� (Phone) _ ES u V�
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcaon ❑Deck ❑Porch ❑Re-Roofi
ng ❑Re-Siding '64Lower Level Finish ❑ Fireplace _ .
�Addition ❑Alteradon ❑Utility Connection r" __-
CODE: �I.B.C. �I.B.C. (� M� 2� ��
Type of Cons�tion: I II III IV V A B j�
Occupancy Group: A B E F H I M R S U PROJECT COS'I'/VALUE S �� a 0 �
���� 1 2 3 4 5 (exduding land)
I � b Y ���' �t I�ti'e �i�d �f°tmauon on thu application which is to the best of my krwtivledge true and correct, I also �e�ifi that I am the ow�ner or authorized agent for the
above-me�tirn�ed property and that all conswction will confor� m y� �y�e� staoe and local laws and will proceed in accotdance with submitted plans. I am aware that the building
official can revoke this or jus ause, Furthermore, I hereby agree that the ci ofl`�cia! or a des' ee ma enter u
h' � y pon the property to perf'orm nceded inspections.
X �
S �g�� e Conaactor's License No. D�
Permit Valuauon '� Q�0 �� Park Support Fee # a
Permit Fee $
, �.S' SAC # $
Plan Check Fee $ �_ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer a
/, ���
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �r � j-� Water Tower Fee # a
Mechanicai Permit Fee $ Builder's Deposit a
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ S¢", ; SD TOTAL DiJE $
� � �
'Chis Appiicanion Beoamts Your B�rilding Pt�it When Approved Paid '' �. Z Ree ' t No. '•/ r ��,
� Date � 3 // B
Buildi Official Date ,
This is to certify that the request in the above applicarion and accompanying documents is in accordance with die City Zoning Ordinance and may proceed as requested. This documenr
when signed by the Ciry Planner wnstitutes a remporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certif'xate of Occupancy must be
issued.
- ----- Planning Directcx �_..__------ --------- � ------------- gp�ial Condifiuns, ifany -
24 hour notice for all inspections (952) �47-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �
Residential Buildin� Perm.ii Che��list
Basement Finis� or Intz::or �Itzr3tion to Sin�le Famiiv Hames
f ,' e , � ,
3� ; � � Date: : . .�� � %�
,�- ,k':.�� _..
Bui�din� Permii .- f(, pU0 �—' PID: Zonin,:
SiYe �ddress :, ,% --, , _ �, . ; � ; ,%;
. ;.
. ; 1 L_.- ; j! y , /� ` ,
2 , � /_,. � � .
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Leg�l: L B Subdivision:
Es�srin; Sc: ��ES or `i0
CO�+FORtiiS T� ZO�+� YES �i O
ORDL�� ��iCE
� Y�s ��o
is ' �:s an e:c�a�s:a� oi �.e e:����7 �cor�riu� or i R�_... :o ?l�� -;
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is �ae ;TMapz- !ec�:e� � �:.. �eod �iz�.'? Re..., t� P!�r:��.:n;
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Lees �_� al�e:y�or. �+ciuce :nj acair.or_ai'.c_c ie^s? I ReL�: :o P'a;.:�m? I
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DC2S C1�'iZ 7LO�OSeC 31:�:3COII 1i:CiL'CZ dP_�i Ot�iSiCZ' �:..�: :0 i�.'.r��:.'�
�.^iL��!C�S �53:1 D�.^.0 GOOLS�� �`
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15 :..� vIO�OS..Q i1S°. Oi `.r� i:u5:.�� �;.2C� Or I ��_... CO ��.�.i�: :.:'.� .
31t�^°..GA :Or 3i:�/' OL::C; .:.�.?: 3:iC�2: �ii,?:�° I
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TI?I� C3ECL:..IST 1�Iti�T BE COitiIPLF.T�D .�.`ID I�fCLL�ED Ii+' :'7':.' 3L�TLD[:`+G P��tiIIT rT1.� TO
`/[nIYi'.�I`f .� .��'.CORJ OF Ti3�' �: `iT:.'`
, _.,,nr _ _ �' =�": -'��,:C"
DEPARTMENT OF
P R i O R LA K E BUILDING AND INSPECTION
INSPE TI N REC�RD
C O
SITE ADDRESS .�� � � ����° �����``� �
NATURE OF WORK �-U��� �����
USE OF BUILDING ��� �'�/
PERMIT NO. �/ • U �° � DATE ISSUED /. � � �
CONTRACTOR �''/��✓�' /� - PHONE ZZ�� . . j��
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
��
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING � Z
INSULATION
ELECTRICAL
PLUMBING � z a �-/'T"� -�
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ��; � �'� � �
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING �`�; '* � � ��
.� .t �,�
ELFCTRICAL
PLUMBING
HEAl`iNG
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.
FOR ALL INSPECTIONS (952) 447-9850