HomeMy WebLinkAboutBuilding Permit 07-0964
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ;6 /0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
d~A +:\0
"'WORK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0.3.07
1 ~~~\V ~i~liC"nl I PERMIT NO. 07, 09 (p4f
e ont. and si n at bottom)
;\DDRESS~
'30
9ri()
LEGAL DESCRIPTION (otTice use only)
LOT tmLOCK ADDITION ~( N
~W~ID25'". 365, OI(P.O
ZONING (offiCe use)
PuD
OWNER
(Name)
(Phone)
(Address)
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration Ou
ORe-Siding OLower Level Finish
o MIse.
CODE: ,rgII.R.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
204
B
S
PROJECT COST IV ALUE
{excluding land}
$
Coo~<'. 0 0
A
R
5
U
I hereby certity that I have turmshed mformatlDn on this applicatlOn whIch IS to the best of my knowledge true and COITect I also certIfy that I am the owner or authorIzed agent tor the
above-mentIOned property and that all coostructllln will contllrm to all eXlstmg state and local laws and WIll proceed rn accordance wIth submItted plans I am aware that the blllldrng
oftkial . 'yoke th 'rml for Just calise Furthermore, I hereby agree that the City official or a deSignee may enter upon the propel1y to perform needed mspcctlOns
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fec
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
z.z... I ~ (.,
1().f~(J
This Application Becomes Your Building Permit When Approved
~ ~t.J
Buildlll!.! Otficial
ID~~ ?
/ Date
-I-
$
$
$
$
$
$
$
$
$ ZZl, (,,3
ThIS IS to certll)> that the request rn the above applicatIOn and accompanymg documents is In accordance with the City loning Ordinance and may proceed as requested. ThIS document
~' "mm~"" em""." of /;;;Z~'d .110", "",m."", ''l "",","m. 'of", "CO,,"", " e"",,,,, "fOc".,,",, "'.., b,
Planning Director Date Special Conditions, if any
2.. hOllr notice for all inspections (952) ....7-9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
. <II ~ ,
INSPECTION RECORD
~~iU~~D~FE~~RK-3~E~ 0 ~- ~~~, a~&'~~
USE OF BUILDING :.,~A .
PERMIT NO. DATE ISSUED I t:J/811 Z
CONTRACTOR lAJDJr,"lJN~ --;;;:;,/CS. PHONE ~SZ - t,0" - W.!'ce
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL C. ex (5T;
fO-/Ui
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Fu\:)ff/~ I LAme ~ HouSE ~ I I
FINALS
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