HomeMy WebLinkAboutBuilding PErmit 10-0622 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 1 I� I O; �
ADDRESS t l l �� �"t, E45,a•'� Q� ��i--�
OWNER CONTR.
PHONE NO. PERMIT NO. ��- �ZZ
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMiNG ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
I�FINAL L, 1_ , p PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH F�NAL ❑
COMMENTS: ���
C�.o�- f=� �,�
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTI D ROCEEQ
❑ CORRECT WO C FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9850 FO INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
�� PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
J � AND UTILITY CONNECTION PERMIT �� 2 �� ��
M� qP I Whlte Filc �
"N�`�° PERMIT NO. /� �G22 �
_ rn,�: c���
; veu�,�� npi�il���,�
(Please ri e or rint and si n at bottom)
ADDRESS ZONING rr,�< <�se�
� l �11 `� �e�s�� �. L � . �
LEGAL DESCRIPTION (of�'ice use only)
LOT BLOCK ADDITION PID
�C OWNER
(Name) f�L. �- L//l/D14 /�OL N/f}� (Phone) �s�' 7 �..�33 �]
(Address) 7 3 ���5� � /, c�C..E�W �/� /�(�(�CAK �N Ss� �
� i BUILDER
(Company Name) SO�M'�� (Phone)
i (Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding �,ower Level Finisli ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Connecdon
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CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. _ _
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
(excluding land) I
� Division: 1 2 3 4 5 ,
�[ hereby certify that l have h�rnished mtin�mation on this application which is to the bes't of my knowledge tr�e and correct. I alsu certify that 1 am the uwner or authonud agent fur the
� abuvc-mcnuoncd properry and that all cunstruction will conFurm to all cxistmg statc and local laws and will procccd in accurdancc with submiucd plans- 1 am awarc that thc buildmg
� ufficial can �vukc s permit fi� �ust c� ise F� rmo ��. 1 reby �gree that the city official or a designee may enter upon the property to pertbrm neeAcd mspecnuns-
\
� }t I�--
Signature Contractor's License Na Date
Permit Valuation 2 /�^ Park Support Fee # $
(/�/
Permit Fee $ � �� SAC # $
Plan Check Fee $ Water Meter Size 5/S"; 1"; $
State Surcharge $ ' O Pressure Reducer $
� Penalty $ Sewer/Water Connection Fee # i$
Plumbing Permit Fee $ ��� , SQ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee �$ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ !"� �'
r
This A 1' a n omes our Building Permit When Approved Paid ReCCi t o.
Date B
7 �i
u din� �� ici.il I) tc
Th�s �s to certify that the requcst in the abuve applieauon and aecumpanymg documents is m aceoedanee with the City Zuning Ordinance and may pruceeA as requcs[ed- "I'h�� ducument
when signed by the City Planner consutures a temporary Certiticate of Zoning compliance and alluws consnuc[ion to cummenm. Before occupancY, a Cernhcate uf Occupancy must be
i issucA
� Planning Director Date Special Conditions, if any
24 lioin� noticc tor all inspcctiuns (9S2) �147-985Q f:�x (952) -t�7-42-{5
4646 Dakota Street Prior Lake, MN 55372
P R I R L DEPAF�fiMENT OF
O A K E BUILDING AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS I��3y �'hP� M.2�� �
NATURE OF WORK � �. �,,�5�.
USE OF BUILDING
PERMIT NO. �� � Ca�'� DATE ISSUED �
CONTRACTOR �,,,(�u�,,�„ PH E �(��I• �33 `I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
V VI�riL���
NDATID1�ri�r-t�-Backf iiij
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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FRAMING .I� co � �o
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
� c.��'r� �
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
,
BU�LDING � a
. ,
ELE.CTRICAL w
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