HomeMy WebLinkAboutBUILDING PERMIT 16-1122 CITY OF PRIOR LAKE f
DTIME
INSPECTION NOTICE SCHEDULED 3 z�i
ADDRESS ,3 U
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ 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
elAINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
es) (< --L.
C� --
C WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,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
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
/ 5
AND UTILITY CONNECTION PERMIT , 1
Q tri
whhe File
414NES6CP. 7 Pink City PERMIT NO. , ti
3 Yellow Applicant F ,
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER k •t, t t % „, ck1 Ler i
1/4
(Name) 1-)01 V
...., 04„\NlVAS:1` (Phone) I 0‘0 ‘40
(Address) S S 4
BUILDER
(Company Name) CkitAr Orva‘c.t ‘...Acity,t A 0.-twattlA1/41(Phone) (AZ.—11,0S- 2.2 4,
(Contact Name) KNitt, "VZ.4(t) (Phone) WI.- %2, - Z-2-6
O
(Address) 11400 Ctm-t 0,41,54 0 5
rM SSIS o
TYPE OF WORK D New Construction EIDeck SPorch ORe-Roofing ORe-Siding ['tower Level Finish Ef Fireplace
DAddition PAlteration OUtility Connection
CODE: DI.R.C. OI.B.C. misc.
00 .
Type of Construction: I H DT IV V A 13 PROJECT COST/VALUE $ te$00
Occupancy Group: A BE 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 nue and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that a construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this perm- fo jut aus& Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. I
X ...%;;CIAti4111 V.C.(081 2AS
Sign, re Contractor's License No. ; Date
I Permit Valuation / pc) Park Support Fee # $
Permit Fee $ s-o SAC #
Plan Check Fee $ Water Meter Size 5/8"; 1"; 1
$
v L
State Surcharge $ cDcp Pressure Reducer
IPenalty $ 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 DUEe513 47 j 45" i q o
This Application Becomes Your Building Permit When Approved Paid 0 Rec
Date /0 (S
Ct
It Lidding Official Dalt
I '
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce4 as requested. Tins document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occapancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special CanditionS,if any ;
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
DEPARO
PRIOR LAKE .BUILDINGTMENT AND INF
SPECTION
INSPECTION RECORD
SITE ADDRESS 520¢ dit
NATURE OF WORK
USE OF BUILDING �, `
PERMIT NO. . /LZ. DATE ISS
CONTRACTOR PHONE
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT A L TIMES
INSPECTOR DATE
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 1 0(3a( 16-
INSULATION . - ' ylrl <<ELECTRICAL
HEATING _
ER NO WORK UNTIL E ABOVE HAS BEEN SIGNED
HOUSEWRAP "8t-2-- / LATH
)4'1)7 � FINALS
• OR TO SODDING)
BUILDING , 1
1 �--Z
ELECTRICAL t
HEATINGN--�
Dia NOT CCUPY 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
CITY OF PRIOR LAKE
BUILDI PERMIT "LAN?EVIEW ��
INSPECT . A ,.
DATE Q 2r PERMIT NO. e
D ACC 15TED AS SUBMITTED
�4CCE
PTED WITH CORRECTIONS AS NOTED
C3 NOT ACCEPTED-CORRECT&RESUBMIT
These comments are for your information.All work shall be d
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