HomeMy WebLinkAboutBuilding 06-0896
~TE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED '2fo~
ADDRESS 15 (p(')( U II {L r~ 11 I. ~
"0 - p
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()(P -C$r~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~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:
^ III 1)(7
U .oc;.R_rl-tt~ -; L,
)(,WORK SATISFACTORY, PROCEED
o CORRECTAON AND PROCEED
o CORREal WckK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CA
-9850 FOR 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
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. W . e96
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
H,\q 11 (CLt~ il~ jJ.
/
LEGAL DESCRIPTION (office use only)
l5'~,[j/
LOT
BLOCK
ADDITION
PID
;;; 11,1 5' r-' /, Y'<P, (--e.--
J.~,nlji'7t (=,~
i BUILDER I f L"~.
i (CompanyName)~'K.P 7~ \ ~
(Contact Name) <. ) 1'1"1',\ Cl' ') l ~j.1U"""3r '"'
(Address) f~OI (J; u= ~~ ~~ BLUI~<;:::()i (C~
OWNER
(N ame)
(Address)
(Phone)
-Az_,e. AJ I W<
(Phone) 7~-:::J- ,Wel ~?;, lOG
(Phone'5i 9 ~;:;;9 d -7 /1 (
viA A.c'- ..~C;337
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddltlOn OAlteration o Utility Connection
ORe-Siding
OLower Level FinIsh
o Fireplace
CODE: ~I.R.C. DI.B.c.
Type of onstruetion: 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
\l'Misc IIpAa./v-
lX' . I
PROJECT COST /V ALUE
(excluding land)
~r:~-tt ~~L(/5
SioZ5G - -
I hereby cer( that I have hlrmshed mformatllln on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authollzed agent lor the
above-men ned prl~, an~d,' th,at a~,,'ructllln Will conform to all, eXisting state and local laws and will proceed In accordance with submitted plans 1 am aware that the building
~rlClal c re:: t(~-=:~:'\:~hermore. I ~: :ee that the CI~ official or n~i9ter upon the propel1y to pertorm nee;;hhC.
- Signature Contractor's License No / 17.Jte
t1~o t), 01)
$ /03, b()
$ ~~ . 9~
$ 2~D
Permit Fee
SAC
#
$
$
$
$
Permit Valuation
Park Support Fee
#
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Pressure Reducer
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
This Application Becomes Your Building Permit When Approved
~~~
lllllldlng Urticial
TOTAL DUE ~/P.~.()" IJ
- ~ 1/
Paid /7/, fib Rec<Vpt No. 52 +&?
Date IrJ. l <v~ BY/1_
EX p~{~ aii:. (/oir/~;) JJJirH
,/t7liY4'kir-
ThiS IS to certIfy that the request m the above applicatlltn and accompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the CIty Planner CllnstItutes a temporary Certificate of Zonmg compliance and allows constructIOn to Cllmmence Before occupancy. a Certificate of Occupancy must be
isslIcd
$
$
$
$
$
Sewer/Water Connection Fee
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
Gas Fireplace Permit Fee
$
$ /7f 95
,
/oh/."
/ DJie
I
I
JJo
I
I
,
Iff IS'
Planning Director
Date
24 hOllr notice for all inspeetions (952) ~~7-9850, fax (952) ~~7-~245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS ~lDO( '1 iG.M L.ANO AIlE. JJ. ~..
NATURE OF WORK ~A I. &.. CO ~ ~.. 1=116~ rv.I,
"
USEOFBUILDING S.F:O. .
PERMIT NO. Oc.. Oar0 DATE ISSUED tOI'3h1.
CONTRACTOR ~ 6'N1t1t,Jc.lLr P~Z - 2." - ", t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
: .
I
I I
E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMING
INSULATION
ELECTRICAL
w/~~/,/(iiJ~./'~. 1~/''t/D',
? A I 11'1 } ;-i
~/lJCJ'IA.Q...
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
BUILDING
ELECTRICAL
~
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