HomeMy WebLinkAboutBuildng Permit 01-0778
DATE TIME
CITY OF PRIOR LAKE
INSPECt10N NOTICE SCHEDULED .:? - J'-~
,
ADDRESS /)2..~ r:::CAI-I,.... k~ 'f-
OWNER CONTR.
PHONE NO. PERMIT NO. J- 17~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~ u r-LU~FINAL
o SITE INSPECTI ,:0-" 0 MECH FI
COMMEN: f-c - rO(f~ It/-?
(~ ~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
! -+.- Q L.-
I
/ ((;'-P
c....----- \.. V -
"....,
/--( (;-;>
~
J4 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTY;POR ALL FOR REINSPECTION BEFORE COVERING
'7 ..../4-0?
Inspector: .? Owner/Conlr.
i
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
""'"'"
Date Rec'd
7 - 'L f-,.CJ /
CITY OF PRIOR LAKE BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File I PERMIT NO Y I
.- ~ '01-071.
3. Yellow Applicant
(Please!vpe or vrint and si2D at bottom)
ADDRESS
15Z59 PH/t::I?R7VK-S
ZONING (office use)
,e1.uJ
LEGAL DESCRIPTION (office use only)
PID Z~ -t)3fp - 6 0 (p -i)
ADDITION ,M/fP(,.06 I' ~c.. ..fJ/fJ l&er
LOT (p BLOCK
OWNER
(Name)
(Phone)
(Address)
BUILDER I I ---
(Name) Cnr,'s-r-,'a"r :J,,1(,
(Contact Name) f". J-/vr Ir"
(Address) ILifo p,,-,)( eJ
(Phone) Cjf"J..'( 70- ;).001
(Phone)
r;\'VI,.J Ir. to S J 1"""
)(Re-ROOfing
DAlteration
DRe,Siding
Dutility Connection
DPorch
DDeck
o Fireplace
o New Construction
TYPE OF WORK
DAddition
DLower Level Finish
PROJECT COST IV ALUE (excluding land) S
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn 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
;terupon the f[ff;1orm;;=ons -37/'Z--- 7/,) If /0 I
r / _ _ Signature Contractor's License No. Date
.
$
$
$
$
$
$
$
$
$7b,~
#
#
Park Support Fee
SAC
2, ) Ou./JO
74--.7S
Permit Valuation
1 Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
-
I. z.-S-
#
#
1~~C~/('7
'7("D 0
7. VI',(I ,
Thi;;;%mes Yom Building P=;t ~;,:~oved
Paid
Date
Date
Building Official
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director