HomeMy WebLinkAboutBuilding Permit 01-0048
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. While File I PERMIT NO
2 P;"k C;<y .
3. Yellow Applicant
(Please .!VD~ or print and sign. at bottom)
ADDRESS
ILi1",'1
IS" l(jk R ~(1-,~, Tf'aL
LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK:J ADDITION F="\f'-S+ A,JJ; -+\0'\.
PID 2<:;- Z.84 -o"L~-o
OWNER
(Name) B la ke-
(Address) I Y 7;2. '1
'"T IN> WI...., I' fa I L
f, PIJ Ie. R. .cbl"_ Tf'ai I
'lS;;Z-'f9S--9'3>C(
(Phone) 9S-d..-44.D-t'o~;;l. L
'4X:>f'J<, '[
1-4"""...
I
BUILDER
(Name) ---rh pJ ""VI
~v~ ~deA'<'
(Phone)
(Address)
"'~..,
\"''''04........ I", P"ll < I Vle<:: <;
. ..
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
~ower Level Finish
I ~OQrr---
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST/VALUE (exc1udingland) $ looo_""
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. 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
;ter upon tt~opertyr perform nee#~ns J _ d'-l-c:::t9
~, ~_____' /d
S~; Contractor's License No. Date
I Permit Fee $ 34. -r ~ I Park Support Fee # $
I Plan Check Fee $ I SAC # $
I State Surcharge $ .60 I Water Meter Size 5/8"; 1"- $
,
I Penalty $ I Pressure Reducer $
I Plumbing Permit Fee $ I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace Permit Fee $ I Other $
I TOTAL DUE $ ~5 2t;
Paid 3> S. 'Z,.<\ Receipt No. ~ 88&<\
Date t ! t..\ f " ( By A-I'll )...
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
I~" "~Ic..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING I., ,
PERMIT NO. ~,- A , DATE ISSUED - I ~t/lt O.
CONTRACTOR PHONE~ - '''.0- C.Z& ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J ~~ ~. 1111.. I
I...-etfIJ6ATI\},'I (Jlrior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
&''''(;:A: ti.....:f:F: ,Io,e.:=.' ....
'"
#Jr
~,
d/~~t/(
;;/;; ~ /
FRAMING
I INSULATION
I ELECTRICAL
.J:PI IIIIDI"-I'i
HEATING (if required)
th
~/c?g;tJI
__IRE1. _j ~..,_
'L'A~ , ,I.,,,, AlA TI!6T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
&AJ\!IU5 {r .1", LV ~aadmg)
BUILDING
ELECTRICAL
"J",YMgltl~
@)
~ --I iD /r) I
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 stiall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5.j(P.O /
-+:00
ADDRESS
/4721 eelLJL6 ,e; 046
./
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Ol-OO~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL 1..--. V.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
C ro-:rJlJl-ro"~~'=o,,~~ ,-~
Inspecto : Owner/Contr:
C 44 - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-V
coDE @!lUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl