HomeMy WebLinkAboutBuilding Permit #13-690, 13-0733 , OATE TIME
CITY OF PRIOR LAKE ���
lNSPECTION NOTICE SCHEDULED
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ADDRESS � �� � � �" � S� � � �
OWNER CONTR.
PHONE NO. PERMIT NO. ��� �- Ca � C%
O FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMtNG ❑ WATER HOOKUP 0 FIREPLACE RI
❑ � SEWER HOOKUP ❑ FIREPLACE FINAL
y�`�FINAL ❑ PLUMBING FINAL �GASLINE AIR TST
��SITE INSPECTION O MECH FINAL ❑
COMMENTS:
,
�
ORK SATISFACTORY, PROCEED
❑ C f2RECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECT1pN BEFORE COVERING
lnspedor:�� , Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS 1N ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HF.ALTH dc SAFETY!
lHSNOTt
o � re� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT t;,,/�5'/, ��
U 6
'`'j� t. Whi�e Fik
2 r; �, � PERMIT NO. /� , �GI�
3 Yeilaw Applicant —/
Please or rint and si n at bottom
ADDRESS ZO1v�TG (office use)
�s �Wt��s s� � �
LEGAL DESCRIPTION (oE1�'ice use only)
LOT BLOCK ADDITION PID
OWNER ,
(Name) � V� 1 C �� G� vr� �r� x' (Phone)
(Address)
BUII,DER /' q
(Company Name) e. � � 0 �,� r� �� (Phone) l� � Z' 7� G�!
(Contact Name) '� T °� (Phone) �� ! �
(Address) � T S � ,S � S � �- {v S S� � G
TYPE OF WORK ❑ New ConstrucGon ❑Deck ❑Porch �Ite-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition (�Alteration ❑Udlity Connection
�
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. ��.�.'S�inf ���-P��cC3� '
Type of Construction: I II III IV V A B pROJECT COSTIVALUE $ �� �d ���U
Occupancy Group: A B E F H I M R S U (exciuding land) �
Division: 1 2 3 4 5
I hereby certify that [ have fumished mformation on this application which is to the best of my knowicdge hve and comec[. I also certify that 1 am the owner or authorued agent for the
above- ioned properry a thac all c striiction will conform to all existing stam and local laws and will proceed in accordance with submitted plans. I am awaze that the buiidmg
ufficia can evoke this per t f r just ca s- Furth ore, I hereby agree that the c�ty officiai or a designee may enter upon the property to pcn�form necded +prcciu s.
X , C,��3� �f��.- � 2 S 3
Signature Contractor's License No. D te
Permit Valuation p � p Park Support Fee # $
Permit Fee $ S�7� � SAC # $
Plan Check Fee $ 3�s. O Water Meter Size 5/8"; 1"; $
State Surcharge $ 20 . DO Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �, —O Water Tower Fee # $
Mechanicai Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE '(p. ' �/� $
Thi A pl' ati Becomes Your Building Perntit Whrn Approved Paid � Z Rec � t No.
Date . Z� , / B .
�! �
ei dn ft;oia� ate
Thu u to certify that the requcst in the above appiicannn and accompanying documents is in accordance wich the City Zoning Ordinance and may y�oceeA as requcsecd. This dixument
when signrd by the Ciry Planner consqtutes a tempurary Certificare of Zoning compliance and allows construction to commence. Before �xcupancy, a Ccruticate uf Occupancy must be
issucd.
Planning Direetor Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (952) 447-4245
4fi46 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
�UILDING AND INSPECTION
SITE ADDRESS C� SQ- �"
NATURE OF WORK ^
USE OF BUILDING
PERMIT NO. DATE 1SSUED �
CONTRACTOR l� ; PHONE �,,I2 ^?�b - � r�(%
INSTALL EROSION CONRTOL AND MAI AIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
- kfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING --1
INSULATION " '1- �? �-�:3
ELECTRICAL
PLUMBING � ✓ ( -- ��
HEATING f'I �- ��
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850