HomeMy WebLinkAboutBuilding Permit 01-0058
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
:1 Pink
3. Yellow
File
City
Applicant
(Please'!vp~ or orint and sign at bottom)
ADDRESS a
S884- C/ltJS5~f}R,4
s/. !JoJlUkE--, ,n
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
-;7d /IN"
gov'-ro~
(Phone)
GS2) <ftf() -2435
(Address)
BUILDER
(Name)
~/Jf13
(Phone)
440 -24~
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
]8(Lower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
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 p~ and that all nstruction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware o!'~ official ca oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property t ~nspecho ) J
X ._ , " 2- / /0/
~ Signature Contractor's License No. D~ate
~
Permit Fee $ 7</.7') Park Support Fee # $ I
Plan Check Fee $ SAC # $ I
State Surcharge $ l-S-o Water Meter Size 5/8"; I". $ I
,
Penalty $ Pressure Reducer $ I
I Plumbing Permit Fee $ C(a. CO I Sewer/Water Connection Fee # $ I
I Mechanical Permit Fee $ I Water Tower Fee # $ I
I Sewer & Water Permit Fee $ I Builder's Deposit $ I
I Gas Fireplace Permit Fee $ I Other $ I
CZt~c Building Permit When Approved I TOTAL DUE $ l\t".~1
).. , .'2C:OI 1 Paid I Receipt !:I.o. .sERf')
Date I Date 'jl-I-~ ( By ft:Il,
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 cons!IUction 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
~.JILDING AND INSPECTION
SITE ADDRESS 5' ~ (JIeOSS RNO/2l1
NATURE OF WORK WW57Z-- uEVt:;----c..-
USE OF BUILDING /26S /t//t:.-
PERMIT NO. 0/ -I) Ob~ DATE ISSUED 2- /- () /
CONTRACTOR . 73()U CTViJ PHONE 44fJ - 24--~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I '":f__n. - I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/J
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
.
~
ih
3/"';? ,}-/(J /
3/oa. / (, /
67-
~
3/;>?/6/
~h.(jg/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
~
FIJI/b /
!Sr.
D/ '2/ J /lJ
f'-,/ / "
BEEN S(GNED
.
OCCUPY UNTIL ABOVE HAS
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. for all inspections
FOR I,LL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3~1?'l./ ~"..)
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}'I::F1NAL
o SITE INSPECTION
@
COMMENTS: /."L.
( (I)
\..
'.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
gI'<?llo, II: t:JO
()( - t;;?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASL1NE AIR TST
o
,KlwORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR RE1NSPECT10N BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI