HomeMy WebLinkAboutBuilding Permit 15-0137 DATE TIME
CITY OF PRIOR LAKE 2 it
INSPECTION NOTICE SCHEDULED �7 f!
ADDRESS 3 �3 t' 1.661 �
cid `
OWNER CONTR.
PHONE NO. PERMIT NO. /c-, ( 3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
,FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
11111111
&Min=
xWORK SATISFACTORY,PROCEED
❑ CORRECT A TION AND PROCEED
❑ CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5 J f/4
ADDRESS J 3 'IA).-teks
OWNER CONTR.
PHONE NO. PERMIT NO. l 5— 3"/
❑ FOOTING -PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION , MECH RI 0 COMPLAINT
per-FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP ,FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL OF-GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: L L TR + q
`�1
;�— .�v►s v l rA-I t cr._ aL cznyI4 L(c t t
2,Qpm Vcp,,' r-to r-
3` QIN/,A2_
cU�7oT r
ek . LZI -I-0 Sa(ti
❑ WORK SATISFACTORY,PROCEED
if-CORRECT ACTION AND PROCEED
❑ CORRE ORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447:850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRto�
0CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2..13. 1�
., x AND UTILITY CONNECTION PERMIT
v �' /2. I(245r
44/vESO"� I White File k n
iPERMIT NO.
3 Ppy -
3 Pnk Applicant /f/
(Please type or print and sign at bottom)
ADDRESS 33 ¢3 YI► ia '` �`Y/!L ps„ Da 6 A`rA` ZONING G(office use)
Pv�
LEGAL DESCRIPTION(office use only) •
LOT BLOCK ADDITION PID 25.436 . a5 /,0
OWNER c A 2 Z4, —X %-4
(Name) �G���eA� �`��rK� (Phone) 49
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-SidingL
❑ ['Alteration ❑ r
Lower Level Finish ❑Fireplace
Addition Alteration
Utility Connection j�S
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II HI IV V A B •
PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above- ^ ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o' a can revo 'this permit for Just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.io
X 4„„,,....-- 2'(( 3�.✓
Signature Contractor's License No. Date
Permit Valuation 3 0 o 0 . p') Park Support Fee # $
,
Permit Fee $ 7i4. /S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ !- 50 Pressure Reducer $
Penalty $ J Sewer/Water Connection Fee # $
Plumbing Permit Fee $ c5-1 J71 rWater Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 5-1/. TOTAL DUE $/8 525'
This Applicatio : omes Your Building Permit When Approved Paid les zs- Re t No. G cri
.. 1..
' 19,lc Date Z3_ AS- B .
Buil. lig Official Date
This is to certify a t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 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 Prior Lake,MN 55372
•
RNT O
PRIOR LAKE BUILDEPADINGTMEAND INF
SPECTION
INSPECTION RECORD
SITE ADDRESS 334-3 14/ S' ,u &
NATURE OF WORK 4,OWEf2 t.61/0"1_,-
USE OF BUILDING / /kg
PERMIT NO. /5. /37 DATE ISSUED Z.. /3.. $- _
CONTRACTOR Cil ti2-a PHONE 6/2, 24:1 52.64
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
{=1111110
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING S/ io
INSULATION 13C
ELECTRICAL
PLUMBING k)c
HEATING J,)r
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
immir
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 placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850