HomeMy WebLinkAboutBuilding Permit 01-0223
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!VDe or orint and sign at bottom)
ADDRESS
Date Rec'd
I. While
2_ Pink
J_ Yellow
File
City
Applicanl
15 z z. '1 ,F..-IlletS/I N Jt:::.S "7JfZA It- /1/6
ZONING (officeu,,)
.€/ SD
, LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK
ADDITION /I1I9R P; PAjgJ:::.. ~""'ifIate66
PID ~7F;-/}3t:>~ ()()3-{,)
OWNER
(Name)
KcAJA.J~t 11 WE,'tl.t"- It:
(Address)
1S"7.1.., FI'tI'1t6~A.JIl.s 7'11.. lVt.
(Phone)
w~
q S ~ - '1~o- V~ 1>'1
t;1? - '3'2 - 3JS"tP
~eCk)
OLower Level Finish 0 FirePI/, OAddition OAlteration OUtility Connection
/2r::P~~ip:;OCTCOST/VALUE (excluding land) $
BUILDER
(Name)
(Address)
TYPE OF WORK
o New Construction
o Misc.
(Phone)
OPorch
ORe-Roofmg
ORe-Siding
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
enter upon the property to perform needed inspections.
X k':.
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Signature
Contractor's License No.
3/'27/-'
. Dale
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L1~ .a~ I
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I
I
I
I
I
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~'s ';4'9 ftes Your Building PenDlI When Approved
.~~ 3.2A.~(
B d.l1;,~fficial Dale
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
# $
# $
$
$
# $
# $
$
$
Size 5/8"; I";
$ IIO.lf;
I Paid //O./~
I Date 3-2A~OI
I ReceiJftJ'13IP1
By _
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 ror all inspections (952) 447-9850, rax (952) 447-4245
. .
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J 5~ ~ '1 "+:;.'..~c:;.' \ tc..i t
TYPE OF WORK ~.p ..--.'..,J..'tN:. .....k.C' lL ~""'-D' si7-D .L IDe...\.,*,
USE OF BUILDING SF\) \)
PERMIT NO. () f - 0 2. 23 DATE ISSUED '5. LA - 24t!X
BUILDER \Je.,'ri c\r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
..
INSPECTOR DATE
I FOOTING I "b_\\~ I 5\ CAt, \
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~NED
I I
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j
I
I FINAL
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I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
"
,
~ . .
DATE nIlE
CITY OF PRIOR LAKE . ~ /
INSPECTION NOTICE SCHEDULED ,// /~
"
ADDRESS ~S-:.z..2 9 hJ, k",Ls 7?
OWNER
CONTR.
PHONE NO.
PERMIT NO. 0/ - -2~ ?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~E INSPECTION
COMMENTS:
/1 /
//~v.R
-~r
/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~~ ':WEINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr.
.0/
/ ' /e
-
CALL 447-9850 FO~ THr: Nr:~T INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
_n
1i:l
ADBRESS
OWNER
? /?'cJ<;J- i
DATI!
SCHEDULED ~
,t:iivJ~
TIME
, City OF PRIOR LAKE
INSPECTION NOTICE
to: 30
---
I~
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 IIECH RI 0 COMPLAINT
o FRAIIING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
~ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: '".DP;r %-.- I fOCJ l-ir~ /l~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~' LL FOR REINSPECTION BEFORE COVERING
Inspector: (Owner/Contr:
I
CALL "7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSl'O"