HomeMy WebLinkAboutBuilding Permit 16.0266 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1 fv
ADDRESS 3 r
OWNER CONTR.
PHONE NO , PERMIT NO. j S
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS .
C
j1ORK SATISFACTORY, PROCEED
f/❑ 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 REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIVOTI
DATE TIME
CITY OF PRIOR LAKE r,
INSPECTION NOTICE SCHEDULED lh
ADDRESS eA
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
t& FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS .
❑ WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
aLt
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE .
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
of PRIG CITY OF PRIOR LAKE BUILDING PEI
-> A TEMPORARY CERTIFICATE OF ZONING C(
AND UTILITY CONNECTION PERK
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ADDRESS '[>,
43
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name) C � G� tiJe ,� e ) 4, 0S 2 � ( Pt
(Address) �`� ( 1 t✓w v r)c9 Si V . S , i
BUILDER
(Company Name)_ ( Phi
(Contact Name) l°� ` e `r �- '� 2 �` ( PI
(Address) 14I R 74L� S - 0 � � Uh U 1 S 0 CS
TYPE OF WORK ❑ New Construction ❑ Deck ❑Porch ❑Re-Roofing ❑ Re•Sidinp, ❑
❑Addition oAlteration ❑ Utility Connection
CODE: ❑L ,jj�
R. C . I.B . C . ❑
Type of Constntction: I TI III IV V A B PROJECT COI
Occupancy Group: A B E F H I M R S U (excluding
Division: 1 2 3 4 5
1 hereby certify that 1 have furnished mtormmion on this application which is to the best of my knowledge true and correct . I
above6menu operty and that . ll construction will conform to all existing state and local taws and will proceed in aceor
ut7icial can evoke tl 's pet it f r list ause Furthermore, 1 hereby al;rce that the city official or a designees inay enter upon the I
7C /
Signa a Contractor's License No,
Permit Valuation ?� 000r � Park Support Fee
Permit Fee S o SAC
Plan Check Fee S Z � , ZAD Water Meter Size 5/801 ;
State Surcharge S _ Pressure Reducer
Penalty $ Sewer/Water Connection F
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
O� PRIC)
F.
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BUILDING PERMIT APPLICATION DEPARTME1
NAME OF APPLICANT T%%^ L�1
APPLICATION RECEIVED /
The Building , Engineering , and Planning Departments have r
application for construction activity which is proposed at :
Accepted Accepted With Corrections
Denied
Reviewed By . Date :
Comments :
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PRIOR . LAKE , BUILC
INSPECTION R
SITE ADDRESS CAS
NATURE OF WORK
USE OF BUILDING NSA
PERMIT NO . a DATE S �
CONTRACTOR `$ i2t�r1� 9 �N ai�SY�.�Gc P1
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN
INSPECTOR
Iia ( Prior To Backfill )
PLACE NO CONCRETE UNTIL ABOVE HAS
ROUGH - INS
FRAMING Ll
INSULATION
ELECTRICAL
PLUMBING
oil
COVER NO WORK UNTIL THE ABOVE HAS I
HOUSEWRAP LATHEll
FINALS
BUILDING
ELECTRICAL
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