HomeMy WebLinkAboutBuilding 07-0091
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PRIOR LAKE
INSPECTION RECORD
.
SITEADDRESS I'J~~..! ~~ WS:&.
NATURE OF WORK "..., It tiJ
USE OF BUILDING
PERMIT NO. 0 -- DATE ISSUED .... 0
CONTRACTOR PHON" -l S-
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BU~DING AND INSPECTION
INSPECTOR
DATE
-
- ------ -
ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~ING (if required
/ l/If!
,1..1f1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
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
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /1/ .1-
AND UTILITY CONNECTION PERMIT ~~ ~ 07
(Please
ADDRESS
I1AICSHj:/cLO
/72. 73
LEGAL DESCRIPTION (office use only)
LOT IOBLOCK 2. ADDITION f)6f5f2-F16LD
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. CJ7 - 0 DC] I
L/4N~
Sc
ZONING (office use)
~2-
4TH
o
PID 25. 3
OWNER
(Name)
13;q /c:::rE L5 i To 1'/1
,
0//1.1[.,.'1
I
(Address)
(Phone)
'fSZ- ~'l{. '-/3/ S-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofmg ORe-Siding
DAdditlOn DAlteration DUtility ConnectIon
Lower Level Finish 0 Fireplace
.3 fVYJ5.
CODE: DI.R.C. DI.B.c. o Mise ---_._~~--
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $ SI) ~ IJ , tDO
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have hlfOlshed information on this application which IS to the best of my knowledge true and correct. 1 also certify that I am the owner or <lut!1of!zed agent for the
Jbllve-mentlllned property and that all construCtllln Will cllnfmm tll all exrstrng state and lllcallaws and will proceed rn accmdance with submrtted plans I am aware that the buildmg
~rIC~~t'lml~ tm ill cau~e F~more, I hereby agree that the city official or a deSIgnee may enter upon the prnpeny to pertl1fm ~'~~(~~t?s7
Signature Contractor's License No Date
Permit Valuation .3,000.00
Permit Fee $ 7+,75
Plan Check Fee $ -
State Surcharge $ ;.50
! Penalty $
I Plumbing Permit Fee $ 40.00
I
Mechamcal Permit Fee I
I $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee ~ $ I
I
.J
This Application Becomes Your Building Pennit When Approved
~~
e>?/~1Io 7
Date
Ihllldl1lg Umclal
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fec # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ It ~ ,-2,5'
Paid
Date
Receipt No.
By
ThiS is to certify that the request m the above applicatiOn and accompanymg documents is 111 accordance With the City Zuning Ordinance and m,lY prncl'ed ,lS requested Thls document
when signed by the City Planner constitutes a temporary Certificate of ZOIung compliance and allo\\'s construction to commence. Before llCCUpaJlcy, a Cntlticate ()f Occupancy must he
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (')52) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372