HomeMy WebLinkAboutBuilding Permit 03-0792
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
SCHEDULED
7-2q
ADDRESS
/4 ))..0 N,'cU.., I/r--c /..t./
OWNER
CONTR.
PHONE NO.
]- )q)
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / I
..e1'INAL l.-- I...... ,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{)o~<
f)c
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT'A):~ALL FOR REINSPECTION BEFORE COVERING
Inspector: tvr' 7.1- '( - If) Own.rIConlr:
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
Date Rec'd
rint and si at bottom
; ~i~~' ~::y I PERMIT NO. ;"'3' ~rJ ) J
3. Yellow Applicant bi- L 7 ~
Lj/ ;)..0
ZONING (ollie,",,)
ADDRESS
u~
/50
LEGAL DESCRIPTION (office use only)
LOT 5" BLOCK I ADDITION
U LUu'
PID
-D
OWNER
(Name)
JTC"I/L
/n./, /u
(Phone)
/.J.l-f/Cl..J-/J.f'F
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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l,o../C->>'r
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/J"" '/c/ ;::;.. ( . (Phone) 7/.J - t,/:JI-/{ 70
(Phone) ?./.J.- - ~ 3/:/(7<7
A /'- 1/0//,1", /"/0/ ./.J: .2 i/
ODeck OPorch ORe. Roofing ORe.Siding
o Fireplace OAddition DAlteration DUtility Connection
..../o",~.f /Jc-"7~/__ O~fi,j.,,-
--
,/"""",.f /"'1<-pY,.,-
TYPE OF WORK
o New Construction
~ower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property~to perfi~ .. rI inspections.
c~_ C' -/( - ?';l
X '
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Cily SAC and WAC
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Builder's Deposit
Other
Date
ames Your Building Permit When Approved
CrIb-OJ
This is to certify that the equest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign b the lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. &H-r> (2-c.J ~ lo",*, INC: ( Ha...dpJ/-
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR .LAKE
INSPECTION RECORD
SITE ADDRESS JJ.lliUJ N/ddeAJ 1J;~1tV I<d
NATURE OF WORK - L.L
USE OF BUILDIN
PERMIT NO. DATE I~UI;P - -
CONTRACTOI\J4 5" 01411:1 PHONE " I-I 74
NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
'- 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 I
FINALS
7 - "I-dJ,
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
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.
-t-q--01
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850