HomeMy WebLinkAboutBuilding Permit 01-0039
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1-2\s -01
. t and s' at bottom
ADDRESS
I~ e15 WI L--oE:1Vtle;5 S 7)2fl'! {.../
LEGAL DESCRIPTION (office use only)
LOT /3 BLOCK I ADDITION
NI i-Oa A.I
; ';:;~:' ~:;, I PERMIT NO. 01- OO?f:l
3,Yellow Applicant, I
ZONING (officeu,,)
e. IS .0
'S P/NJ:).S
PID ZS-3/8 - (JI3 -
'RofaT :JR.) ~ 1<e~rr G)C'S€~
(Address) JI.:,'i:5'1~ W J<...Dt-n/\J n~ ItZltlL St:
(Phone) 9{,Z--44?-2f.<t?
O~ 9S2.-7S<'!-n2~
I BunDER
(Name)
(Address)
(Phone)
TYPE OF WORK
o New Construction
ODeck
ORe-Roofing
o Misc.
~Lower Level Finish
'? /V1.S
o Fireplace
OPorch
ORe-Siding
OUtility Connection
OAddition
OAlteration
PROJECT COST /V 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
submitted plans. aware that the b . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon to e 0 nee inspections.
x"
Permit Fee $ (,2.. Z.S
Plan Check Fee $
State Surcharge $ 1.06
Penalty $
Plumbing Permit Fee $ 4-0. () 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
s Your Building Permit When Approved
/-23,'20f!>(
Date
I
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size S/8"; 1'" $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $/0.325
I ~~~ ~.k(;~
I Receipt No. '3~B~7
By ~(A
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
, DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS ~j",6 70 ~Ik-~~
NATUREOFWORK . ~..._ C2. f<.o_)
USE OF BUILDING
PERMIT NO. c2:,1- 003'1 DATE ISSUED I~?'l~~t
CONTRACTOR ' ~ P<U> PHONE .7~-'t..,~'2..~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
_II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
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.
Call between 8:00 and 9:00 A:M.'T'or all Inspections
FOR ALL INSPECTIONS (952) 447.9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L",fi~J
jtJ : 8fJ
.
ADDRESS
/t'4? 7s
.
t.Ju A. . Mb4 Tf'I-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl-003"}
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
III FINAL
b -SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: L.t.. t
_..:-i
....~.#
.3~}~"- ,', ,ir~'~t"f__._"~
.t'~.....~
,
/1';-,:
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ r Owner/Conlr:
CALL 447.9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REALm 4 SAFETY/
1I<S1t01J