HomeMy WebLinkAboutBuilding 05-1028
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 2i~-'- (;?~
DATE TIME
~
r1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH F AL
COMMENTS: L L
C) - J6Z~)
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
clo<z. -A- t(p
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
ORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
0:499
(Please
ADDRESS
Date Rec' d
/0./+105
I While
Pink
Yellow
I PERMIT NO. Os-. /0 z 01
File
City
Applicant
ZONING (office use)
29'55
r:'/'2C66/CV6 8L.,1/0
POO
LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION ~N6'f~G ~ 7?-'G J1I/VOf
PIDZ6"". sll. OOt. 0
OWNE~
(Name) Mt'\~
L R~~~
(Phone)
G,/Z - 8""J ~. S3Sf,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition DAlteration DUtility Connection
ower Level Finish 0 Fireplace
CODE: ~.R.C. DI.B.C. o Mise
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I havc nlrnlshed Information on this applicatIOn which IS to the best of my knowledge true and COITeel. I also certifY that I am the owner or authonzed agent for the
above-mentlOne properry and that all construction WIll conform to all eXIstIng state and local laws and will procccd in accordance with submmed plans. I am aware that the bUIldIng
:Iicial can re ' this permll f~ Just ,se urthermore, I hereby agree that the CIty official or ~deSignee may enter upon the property to perform needed mlo7~n~ ts
Contractor's License No. Date
Permit Valuation 3~ 000. t) 0
Permit Fee $ B7. zS
Plan Check Fee $ - .
State Surcharge $ 2...00
Penalty $
Plumbing Permit Fee ~. $ ~O.OO
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee~ - $ "ftJ.OO
This Application Becomes Your Building Pennit When Approved
~pLJ
I Buildltlg Olllelal
/tJjy /or
t Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /~?25
\.
\"
Paid
Date
/u 9. z.s-
/(.l. /9"" r
No. SVJ4'
ThiS IS to certifY that the request in the above application and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. TIltS document
when signed by the City Planner constJtutes a temporary Certificate of Zonmg compliance and allows constructJon to commence. Before occupancy, a Certtficate of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspectious (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 2QS5 P/2.8JE/CV6 t:?~O
NATURE OF WORK ?-tJW6/L.- (/b-V6L--
USE OF BUILDING J8i3,j A//L.-
,
PERMIT NO. OS-. /0 ze DATE ISSUED 10,/4--. os
CONTRACTOR ~77T PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
..
I 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 -..
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