HomeMy WebLinkAboutBuilding permit 10-0129 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � )
ADDRESS �0�� ���,�.W� ; � �
OWNER CONTR.
PHONE NO. PERMIT NO. Ib - CL�
❑ FOOTING O PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
� INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
,
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE W K, CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr.
CALL 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
ws�von
oF rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
��£T TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.� . c
�' '��� � AND UTILITY CONNECTION PERMIT
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M�'�'NESD�P I Whire File
? Ponk �,�� PERMIT NO. i o �,� 1 Z
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS ZONING (o�s'ice use>
30y� �l�w� �` 4C f f�e2 r.c.
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) FT�LS �L � �ASE � (Phone) C I.SZ - y �ln - 27Z 7
(Address) �,�- p y ti �; Z.q�i,� /�11/ 3 � Z
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcnon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fin�sh ❑ Fireplace
❑Addinon ❑Alterat�on ❑Unl�ty Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have him�shed mformahon on this appLcaaon which is to the best of my knowledge true and correcc I also cernfy that I am the owner ur authorized agent for the
alwve-mennoned property and that all construcnon will conform to all existmg state and local (aws and will proceed m accordance with submitted plans I am aware thai the buildmg
official can revoke t permit or �ust c use Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform needt\ chons
X
Si e Conuactor's License No. Date
Permit Valuation 3�80 + Park Support Fee # $
Permit Fee $ , � �"' SAC # $
Plan Check Fee $ �. Water Meter Size 5/8"; 1"; $
State Surcharge $ � Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �� � Water Tower Fee # 3
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ � � TOTAL DUE $/', (� . Z�
,
�
This Ap ' tio ecomes Yd4u Building Permit en pproved Paid � ReCei t No.
Date B
� /L Jo
Bui dm�� Ot1ic � ate
Th�s u to cert�fy that the r uest m the abo32 appi�cahon and accompanymg docu ents is accordance with the Ciry Zoning Ordinance and may proceed as requcstcd Thu dcxument
when signed the Ci an nsptutcs a temporary Cerhficate of Zomng c pLance nd allows construct�on to commence Before occupancy, a Ccrt�ficatc of Occupancy must be
issued
� rL r�
lanning D te Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, Tax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
P R I R!■. DEPAR�MENT OF
A K E BUILDING AND INSPECTION
IN PE TI N RE
ORD
SITE ADDRESS ��l C� I� ��,,� �
NATURE OF WORK ��Nts �- L y�`�
USE OF BUILDING �-
PERMIT NO. Y� �(�� DATE ISSUED Z��
CONTRACTOR ��v�•.-�s ,�t PHONE 4� 4-0 -Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
O B8C�1���
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING � � �
INSULATION �
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE � �1 �o
GAS LINE AIR TEST �uT'��ei. � p
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
rior to Sodding)
BUILDING �
ELECTR`ICAL
PLUMBIN�
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 ail 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