HomeMy WebLinkAboutBuilding Permit #13-0444 CI7Y OF PRIOR LAKE DATE TIIME
INSPECTION NOTICE SCHEDULED -5 ' Z - /`'f—'
ADDRESS ` s ¢� � ��� �� s ��� •
OWNER CONTR.
PHONE NO. PERMIT NO. �"�_�t� �
❑ FOOTING 0 PLUMBING RI ❑ EXlGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
/ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
�7 SITE INSPECTION ❑ MECH FINAL p
COMMENTS:
❑ RK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
lNSNOTJ
oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
y � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` j��
AND UTILITY CONNECTION PERMIT � �
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'�'r I Whne Fae PERMIT NO . /� ��
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3 Yeltow App6cani �
Please or rint and si at bottom '^—
ADDRESS ZO1�IING (oteice use>
� S `7 � `'/ �! �I•� /�1,�lv�� 1'�GG2C_� ��.
LEGAL DESCRIPTION (oflf�ce use only)
L �y ,a-�
LOT BLOCK S ��DITIbN PID ,�� — G�,� ��'
C)WNER � / d
(Name) � :rCl Cf l�� � r'1'1 l� ���''� � � (Phone) �S � -� � �l - �' _
I �v > f ,�, - �� S - I '�(c� .. !4v1�
(Address) � s y r y r ����, �U h�' C-1 �`�.
I BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcuon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fueplace
(�,Addiuon ❑Alterauon ❑Unl�ry Connecnon
CODE: I.R.C. ❑I.B.C. ❑ Misc
Type of nstruction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 Z 3 4 5
t hcr y crtity that I have fumished mformahon un this applicanon which u to the best of my knowicdge true and conect f ilsu ccrufy that I am thc owncr or author�zcd agcnt for the
abov -mentioned pmpc�Ty and that all consaucaon w�ll conform to aU exis[mg state and local laws and will proceed m accordance w�th submittcd plana [ am aware that thc buildmg
ut7'ict i ca mvoke th�s pe�mu f r ust e Furthermore, I heieby agree that the ciry official or a des�gnee may enter upon the property to pertorm n� c rospcet �ns
� X � � � �
� �g a e Contracror's License No. Date
Permit Valuation V �� ' .- Park Support Fee # $
Permit Fee $ SAC # $
lv 3- '
Plan Check Fee $ �,� .�� Water Meter Size 5/8"; 1"; $ '
State Surcharge $ Pressure Reducer
Z -- -
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposrt $
Sewer & Water Permit Fee $ Other $ �
Gas Fireplace Perrnit Fee $ TOTAL DUE $ ('1 ��`�
This Ap� 'on comes Yqur Building Pemut n Ap oved Paid '� �� � ReCel t No. "���
Date - B
' � 7 (� .
e��ad �,� u �.�<<
This is tu cerofy at thc requ •tit n the abuve appl�cauon and accumpanymg documents u m acc danc • �th the C�ry Zonmg Ordmantt and may p�occeA ati iequcucd This document
when s�gned b e Gt Pla e onstitutcs a tempuiary Cerhficate uf Zoniag compliance and towz msnuchon tu commence Before uccupancy, a Ccrhticate uf Occupancy must be
issucd j
5 ( 7 (� 1
anning Du Dat Special Conditions, if any
24 hour for ail inspections (952) J47-9R50, fax (952) d47-d245
4646 Dakota Street Prior Lake, MN 55372
` DEPARTMENT OF
BUILDING AND INSPECTION
� �
SITE ADDRESS l � � �- �
NATURE OF WORK �DD r c��/
USE OF BUILDING �'S� r4-
PERMIT NO. l r .3 DAT ISSUED s j r3
CONTRACTOR G �-r-.� -f- ,�{-� - � PHONE 1'�Z - z/2 -E���
INSTALL EROSION CONRTOL A D MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
F Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING C�
INSULATION
ELECTRICAL
H
- R
. COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS
( PRIOR TO SODDING)
BUILDING �--L- .� 2 1
EL�CTRICAL —�ff��� o�G--
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 placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850