HomeMy WebLinkAboutBuilding Permit 01-0079
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
Z - 8- 0 I
I PERMIT NO. 0fII5 0 nJ
.~NING (office use)
,.'[ IZ /
1. While
2. Pink
3. Yellow
File
City
Applicant
c?'f-fh3
(Please type or print and sign at bottom)
ADDRESS
/tf2-/ /
8t..t/613/,eo 77e- N {3;
LEGAL DESCRIPTION (office use only)
LOT4- BLOCK I ADDITION KII,1O/5 Iftf-A-/ 2f1/P
PID 25-339- tJt/1-{)
.WNER
(Name)
9")-2-23J-07Z,1
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T?lveb,rd -r,...,/
K1''''N
(Phone)
f'12 f1
. Pr'Ob. {.,IJ te_
Nb
(Address)
.UILDER
(Name)
T.uh. -/',el< COIo-l ~,,",,--I-IO";
9 ')2 - '1'iO - 7.,~-O
(Phone)
I"lYcJ 0 7i?1I,.m"ll<;. Pt"",~. L5'v,,,,s.,/lt.
S's JOb'
/If;.,
(Address)
~eck
o Fireplace
ORe-Roofing
ORe-Siding
oPorch
, TYPE OF WORK
o New Construction
oAlteration
oUtility Connection
oAddition
oLower Level Finish
PROJECT COST/VALUE (excluding land) $
o Misc.
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
~terupontherr;;~rm;e:-~~ d. () d16/IO 2/8/0 I
~ ~le Contractor's License No. _
5,000.00
I Park Support Fee #
I SAC #
Water Meter Size 5/8"; I";
Pressure Reducer
1 Sewer/Water Connection Fee #
I Water Tower Fee #
1 Builder's Deposit
1 Other
I TOTAL DUE
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1$
1$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
83. '2<)
54. I J
ISO
$ /2Y3. f3ft,
I Paid
I Date
I Receip!M 39'012--
I By 1{.iA /
IT
/3tJ.a{p
'Z ~/7__r) I
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
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14'2\1 1<;\u~\oit-& ("
TYPE OF WORK 'QD,..k
USE OF BUILDING g r,: t\
PERMIT NO. Of - 007Q<- DATE ISSUED ;;2 - '1 - ~o (
BUILDER 1:::;.r"^t,'-u- ~ .C,6""2 - qc.{() -77C;-o
NOTE: TI1'S IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
'FOOTING I ~/ I ~/F51(J1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I
INSPECTOR
DATE
I FINAL
I b, 15Idd/a~
/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
I
I
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s'ZZ-&z- IO.'~
ADDRESS
/4-2// 6c.UElS//i?LJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)1-6CJ7~
o FOOTING
o FOUNDATION
o FRAMING re
o INSULATION
){ FINAL .D€C#::-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,
,
,
i
()~-
~JJ
.~
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ .-- Owner/Contr:
CALL 447-98:: I:: T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl