HomeMy WebLinkAboutBuilding Permit #13-879 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED � � ���
ADDRESS t33('� �'��� ��
OWNER CONTR.
PHONE NO. PERMIT NO, � � -- � �'�'
O FOOTING ❑ PLUMBING RI ❑ FJ(/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL ❑
_COMMENTS: F• ��_� e „ �
- �,�.-w
o �
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ(7IREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
F PR IO '
� �' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
� D� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � C,� �3
� �' AND UTILITY CONNECTION PERMIT
d ,�F�
`�'NES�
� wh,�e File pERMIT NO. � �+r1
2. Pink City /
3. Yellow Applicant
lease or nt and si n at bottom
ADDRESS ZONING (ot�'ice use)
33 p i S� e�►o�� 7�. �+.� ��,n 1�,1� ,��1 �a 1 S.D
LEGAL DESCRIPTION (ofl['ice use niy)
M�oa' o� s�� o��TR�cz" D RLS� 3 3
LOT BLOCK ADDITION PID ,� -� od - o ro -- �
ovvzvEx �, l� ll � I � + � �►� a-(�8'C�� 7
(Name) i" iCA.YI �4 e� i !`1 (Phone)
(Address) 3� j (� � �I�t� itx' ✓�N �s o�
Com an � � (Phone) �`��o " a8� ' ` ��'�l�
� P Y ) -
(Contact Name) �f (Phone) gS� - �i / 3 " y0 � �
(Address) ��s3 Jtk
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addirion ❑Alteration ❑Utiliry Connection
CODE: .R.C. �I.B.C. �` Misc: � ��'.t.�( �����"'�`�^�l
Type of truction: I II III IV V A B p0
Occupancy roup: A B E F H I M R S U PROJECT COST/VALiJE $�Q� d 7..3
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fwnished informaaon on this application which is to the best of my Imowledge true and correct. I also certify that I the owner or authorized agent for t6e
above-menfioned property and that all mnstrucdon will conform to alt existlng state and local laws and will proceed in acrnrdance with submitted plans. I am aware that the building
official can revoke th' pennit for just cause. Furthe agree that the ciry official or a designee may enter upon the property to perform needed inspections. �.--
X - 4�C�3s�yo — �3
Signalure Contractor's License No. Date
Permit Valuation � p ���! . Park Support Fee # $
Permit Fee $ i � _ � SAC # $
Plan Check Fee $ � 2 � ,� 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 DUE $ 3 Lp, � Q
This Applicat' ern s Your Building Permit When A r ed Paid �? Re t NO.
" Date 3 B .
� q ��
Buildin �al Date
This is to cerafy that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. Tlris document
when signed by the City Planner consdtutes a temporary Certificate of Zoning compliance and allows construcdon to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 �
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEP�►RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �3 ca l ' ��
IVATURE OF WORK �- G- �.
USE OF BUILDING � �-- r�-
PERMIT NO. DATE ISSUED �
CONTRACTOR �'�-��— PHONE ��,�-"fi"t3-���
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIME
INSPECTOR DATE
N (Prior To Backfill)
DER
PLACE NO CONCRETE UNTrL ABOVE HAS BEEN SIGNED
ROUGH - INS
S
FRAMING � , �
INSULATION "„� w r r� . - �
ELECTRICAL
" � C ER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
� RIOR TO SODDING)
BUILDING " /
ELECTRIC
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SI�NED
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