HomeMy WebLinkAboutBuilding 06-0018
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 3\X7 ~~ 1_
DATE TIME
t#
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.a1=INAL L L f;",
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
b;- 06(~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
oi~rIA_ ~: ~
~ORKSATmFACTORY,PROCEED
o CORRECT ACTION AND PROCEED
o CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/3.00
I White
Pink
Yellow
File
City
Applicant
rRMITNO.,ao .601a
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25'. 382-. 6 93. ()
~'::e~Rt~, V\') *' t\.\:k ~C")V \,j D. \
(Phone) L ~~5~ da~- ,s-~L~l
(Address)
I
I (Contact Name)
BUILDER
(Company Name)
(Phone)
(Phone)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
ower Level Finish 0 Fireplace
4- ,c.,~if
CODE: l!!.R.C. DI.B.C. o Misc.
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
'-.-...
I hereby certify that J have furnished lOformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner authOrized agent for the
above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submllted plans I am are that thc buildmg
officia n revo e this perm for Just cause Further reo I hereby agree that the City official or a destgnee may enter upon the propel1y to perform needed mspectHllls
$
$
$
$
$
$
$
$
$
'--..
X
Contractor's License No.
Permit Valuation 4 coo () (J I Park Support Fee #
Permit Fee $ .-- SAC #
J
Plan Check Fee $ - Water Meter Size 5/8"; I";
State Surcharge $ 7_ (/L) Pressure Reducer
Penalty $ Sewer/Water Connection Fee #
Plumbing Permit Fee $ . (/7.) Water Tower Fee #
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other ~ ( (-:'"7!A7 2"2 eN L
Gas Fireplace Permit Fee $ 4- () _ (f{J TOTAL DUE
~~" y"", ~uil';ng P,.... Wh'n Appro,,'
I c.~A
BlIilJin~ Ofticial
:508 g;
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constitutes a temporalY Certificate of ZOnIng compliance and allows constructIOn to commence. Before occupancy. a CertIticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
z. 7 8~6(!AT 71tA--
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ()f, .1)0/ /.:1.'
CONTRACTOR ,/)tJIf!,,/VA/ ~ PHONE 'ZU. S~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
=-'1 i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
f(J
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 INSPEC~-.~.,.... r'"'52) .1117-9850