HomeMy WebLinkAboutBuilding Permit 00-0954
J
d
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/0,27'00
\. While
1. Pink
J. Yellow
File
City
Applicant
(Please typ~ or print and sign at bottom)
ADDRESS
'::)311
ROBINSON
C-l /<. <:..L E
LEGAL DESCRIPTION (office use only)
LOT (p BLOCK
/ ADDITION 'E/IU()~VluE HIc..U'
(,,7H
=
OWNER
(Name)
j-Q. W
53,\\
~krSo l'-.
P-.obl/\ ~'"
l4wlV'ah.
S-tn se:J- lfq I I SW
(Phone)
qS~ 447 O.:J,SS
PID 2.5-/87- 60c,,-t)
LI rd e.-
(Phone) 'is.;L 441 "3153
(Address)
BUILDER ~ _ .
(Name) ~r\'~
(Address)
\ I COt
TYPE OF WORK
o New Construction
ORe-Roofing
ODeck
OPorch
OLower Level Finish
o Fireplace
OAlteration
OAddition
MMisc. Wlr\ct:>ltJS
ORe-Siding
OUtility Connection
Z,500.00
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
su Itted plans ~ aware that the bUlldmg official can revoke thiS permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may
ente 0 prG ~ to perform needed IOspecDons
X K)JA~NY>"," / IOr;:)..(n'QO
i~ Contractor's LIcense No Date
I Permit Fee $ 74. 7 S- Park Support Fee
I Plan Check Fee $ SAC
I State Surcharge $ J. Z5"" Water Meter Size 5/8"; I"'
,
I Penalty $ Pressure Reducer
I Plumbing Permit Fee $ Sewer/Water Connection Fee
I Mechanical Permit Fee $ Water Tower Fee
I Sewer & Water Permit Fee $ I Builder's Deposit
I Gas Fireplace Permit Fee $ I Other
I TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$ 7b.OO
" .
I Paid 7 ~ . 0 0 ReceiptMA. 38 "'35
Date I Date liJ '27-00 By /~
This is to certify that the request in the above application and accompanying documents is in accordance with the C:ty Zoning Ordinance and matoceed 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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-'2?-Z<lOl> 1/:i'fS'
ADDRESS 5:~J1
OWNER
R""".. '.''''..,.",
0.,..
CONTR.
PHONE NO.
PERMIT NO.
o - crS4
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
)(SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
2x~ 1-1 DrL
~ I:: +;-.,. "2 I u." Sj;;;g <^.
'. ,
f
~ORK SATISFACTORY, PROCEED
jjf""CORRECT ACTI A D OCEEO
o CORRECT W RK, FOR REINSPECTION BEFORE COVERING
Inspector: 7 Owner/Contr:
~ALV~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI