HomeMy WebLinkAboutBuilding 06-0962
DATE TIME
CITY OF PRIOR LAKE of.~
INSPECTION NOTICE SCHEDULED
U"~Ci1d
ADDRESS ~ ~
-
OWNER CONTR.
PHONE NO. PERMIT NO. & -7f.t;-;)
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSU~TION o SEWER HOOKUP o FIREPLACE FINAL
~INAL .L F:'",- o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION . o MECH FINAL 0
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRE~~ AND PROCEED
o CORRE% ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector:,'} II / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/J'lSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Aprlicant
PERMIT NO. () (" 09 (,2-
,
(Please type or print and si~n at bottom)
ADDRESS
3JJ5<( VLevJ~-t
ZONING (office use)
<?-t~
~("lO'\
~4 '"'-v'l S;-~ l2,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame) G:r- L c.. -t R.~ ~ \
\.4 ~ t ~ ~ (\N"'\
(Phone) 2.,.l.lP lsll 5' L\
(Address)
i BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~Lower Level FinIsh 0 Flrcplacc
OAddition OAlteration OUtility ConneCllon I'
CODE:!LR.C. OLB.C. o Mise.
Type of onstnlction: 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: I 2 3 4 5
I hereby certify that I have I1lrmshed mformatlOll on this application which IS to the hest of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
atmvc-mcntloncd property and that ,lU Clmstruction Will conform to all existmg state and local laws and will proceed in accord.loce with submitted plans I am aware that the buildmg
"tr,na! can Roke tll1: permA t(lrh,\ cause Furthermore, I hereby agree that the CIty official or a deslgnce may enter upon the propel1y to pertllrm needed mspeeTions
X \~l~----'
Signature Contractor's License No Date
Plan Check Fcc
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
H
R30oo, DO
$ 74,7S
$
Park Support Fee
SAC
#
Sewer & Water Permit Fee
Builder's Deposit
Other f..J1L.J-.
TOTAL DUE
/N' ~4u:.er
$
$
$
$
$
$
$
$ /tOO
1$/17,2S
~~iPt No. 5~(J~
;;.
#
Permit Valuation
Permit Fee
#
-
Water Meter
Size 5/8"; I";
Gas Fireplace Permit Fee
$ ~/. 5"0
$
$
$
$
$
Pressure Reducer
Sewer/Water Connection Fee
~o, 00
Water Tower Fee
#
This Application Becomes Your Building Permit When Approved
~ .1dlP ~~5juh
lluJidlll~ Urtlclal Datc
Paid
Date
//7,1,5
It). U. pG
Tim IS to certdy that the lequest m the above applicatIOn and accompanymg documents IS m accordance With the CllY Zonmg Ordmancc and may procced as requested ThiS document
when signed by the City Planner Clmstltutes a tempurary Certificate uf ZOlllng compliance and allows constructIOn to commence. Bcfure occupancy, ;1 Ccrtltkatc of Occupancy must be
l~sUl'd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
PR\OR ll\K~ \,qf.\\~r"t;~"V ~
. '" 't: BUILDING ANO"INSPECTION
INSPECTION RECORD
SITE ADDRESS -3058 \L1Ek.J~~ cl.2aE
NATURE OF WORK ~~ta.. una... t=tf.JiSOH
USE OF BUILDING ~tF7f.'). _
PERMIT NO. 0(" 0 qc.Z- DATE ISSUED ID fZ.~(, .
CONTRACTOR E:R\c. .;.. aAC.HEL HAL~ PHONE -2u,,-'7tD'(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
~~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I I
~ t1f rf'd
- \, l
I
I
HA:t'BEEN SIGNED
,I
OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and malntnined until nil II1SpftCtl0l18 hnv(? btH!II npp' oVfH.I. all l.JullLlIIIYII dlllJ tuJt.lltlolltj
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850