HomeMy WebLinkAboutBuilding 05-0594
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
I~
ADDRESS ~_aJ'".f~ QI' I
OWNER CONTR.
PHONE NO.
PERMIT NO.
5 - 05'1..{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
j)<-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: L. L. h'vV~ k
OIt6e ~. ~I-e
P<WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
5 ef ~o
Oe?5lZ//~LJ
Date Rec' d
~1.Z3t)S
1 White
Pink
Yellow
I PERMIT NO.OS. 0594-1
File
City
Applicant
U I'C ..1'6
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ,fl ADDITION
PID 2. 5-. 102). 011_ J
OWNER ./"17
(Name) · M#II I-{)
6~ tdtJ~E
(Address) SLfL/o
\)Eeil-Fl EL- D
Ctf(LE-
S.E.
(Phone)
rS-;2- L/'f7~ Yl-:3 3
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility ConnectIOn
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
.Lower Level Finish 0 Fireplace
/~
o Mise
B
S U
PROJECT COST IV ALUE
(excluding land)
$
x
Permit Valuation // t; 0 tJ. () D
Permit Fee $ 34-. IS-
Plan Check Fee $ .-
State Surcharge $ ,Sf)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ .... - ,,-~c.
-
f , -........' ~ v..... ._-....
This Application Becomes Your Building Permit When Approved
Building OHieial
Date
Contractor's License No.
.:3
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other C~ e?A7Z4 t:Wrt- $ l tJO
TOTAL DUE $ 3~.ZS
Paid
Date
..3&. ? ~
fr. 2. ~ C'J--
ThIS IS to certify that the request in the above applical10n and accompanymg 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 Zonmg compliance and allows construc110n to commence Before occupancy, a Ccrl1ficate 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 544-0 OE6/~/c:::-L-LJ elK s&
NATURE OF WORK L 0 WE/'C L-6vCL-
USE OF BUILDING /?C5"~
PERMIT NO. os. OS9ct:- DA E ISSUED ~. 23, o~
CONTRACTOR ~;V/lL-O W/Nqe PHONE 447,82.33
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
---. --r [~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
....-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
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.
..
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.,
FOR ALL INSPECTIONS (952) 447-9850
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