HomeMy WebLinkAboutBuilding 06-0638
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
IL -J- 7-~
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C --A U':fC- /'-1 ~ /
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ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~
o INSULATION
AI FINAL
o SITE INSPECTION
COMMENTS~
(
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"'-.
---
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
G-t.3?'
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO
o CORRECT WOR~AL...L ~
Inspector: l
Owner/Contr:
i
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. ort. D&3B
(Please type or print and si~n at bottom)
ADDRESS
IV / {.,-~.O W L1 t;7t1!d
3432
1/U11L-
LEGAL DESCRIPTION (omce use only)
Date Rec' d
7. /7 . 0 ~
ZONING (office use)
1<./
LOT
ADDITION
PID 2-~. I fJ l.. 0 O(P./
BLOCK
OWNER
(Name)
lJCI.lc. Ic.)rj{.r-~,\
.Jf/Jd.. Lv~ I ()~ ~~(.i~
~\ '
V"t.. l I
(Phone)
1$J.. - 'il{7. &171
(Address)
~C~~~~~Name) Ew-} k)~ ~~
(Contact Name) ~\ 't:)('fA.."'J~ fVC4.t-
(Address) ftI~"r1 Rw~ld. ~T 'vii..
(Phone)
(Phone)
~l;).. ~I" ~~~ {
l>.J-....
TYPE OF WORK ~ew Construction OOeck OPorch I8Re-Roofing
fV'dditlOn OAlteratlOn o Utility ConnectIon
CODE: 15dI.R.C. DI.B.C. 0 Misc.
Type of &nstnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
t)'ji.mati on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
(nnst. ction wIll contllfm to all eXlstll1g state and local laws and will proceed 10 accordance with submitted plans I am aware that the build10g
urthermore, I hereby agree that the Clty official or a designee may enter upon the propel1y to perform needed 1Ospecl1ons
x
Contractor's License No.
Permit Valuation
'-
~lqtJdd, OD
$" /714. 75
$ 1/ 4. ~,
$ -",.50
$
$
$
$
$
TOTAL DUE &1..1 /PJ --1" Iq- s<
02 9&./9-
7, ~+,06
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechal1tcal Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
~~
Huildll1i! Uftlclal
Rec~JNo.
Bl-"
7/,e/D ~
I n.fte
Paid
Date
7 . /1. ()G
Date
$
$
$
$
$
$
$
$
I $ e:L,te"I'I
~-/ ~ 71
ThIS IS to certify that the request in the abuvL' applicatIOn and accompany 109 documents is in accordance with the City Zoning Ordinance and may procecd as requested Tlus document
v./hcn signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allnws construction to commence BcfLlre Llccupancy, a Certificate of Occupancy must be
lsslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPA,RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3432- WIL~OW 8EJ1 CUi IIY-.
NATURE OF WORK AvO/v. / /'tl-/6/G/177{;Y\/S/ ~F.
USE OF BUILDING /26S /IlK- /
PERMIT NO. ()c:'. O(c;38 DATE ISSUED 7
CONTRACTOR 6/1 /01-- [) .$- PHONE (~/2.. f-/9. 338/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~:~C~R DATE
FOOTING I '~VVl I 1, WJ./
~Il ABOVE HAS B~EN SIGNED
UGH - INS
, ;
rF.b/~t
II)-' (.' q . tAt
tf /..?~6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
. /1
'/LA' ,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
I
I
J
BEEN
\~-rr~
SIGNED
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