HomeMy WebLinkAboutBuilding Permit 01-0265
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4'4--0 I
I. While File
2. Pink City
). Yellow Applicant
I PERMIT NO. OI-(J'lbS
(Please"!vp~ or Print and sim at bottom)
ADDRESS
14-924- I1/tNI7?JU K..IIt()
I Z~{r~use)
, LEGAL DESCRIPTION (office use only)
sea- Ze,
LOT BLOCK ADDITION
KOPP.s /3Al/
I
PID 25~?U- 02.3-0
OWNER
(Name)
,I::./P /<:.6I-1P6R-
..s:.;q. /'16
(Phone)
6"1:< ~ .:2.1:<" '-/IJS.?
(Address)
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
~Deck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
OAddition
OAIteration
OUtility Connection
o Misc.
PROJECT COST IV 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 loca11aws and will proceed in accordance with
submitted plans. I am are that the b' g official can revoke this permit for just cause. Furthermore, I hereby agree that the city.lO~ or a designee may
;teruponthepr toperform~. ;spections, ~~
-, ,,,,, S~aiure $ q,ooc> .~;actor's License No, ' ~ Da,.
I Permit Fee $ 9?d;2~ I Park Support Fee # $
I Plan Check Fee $ (, S'.~ ~ I SAC # $
I State Surcharge $ 2 . t>O I Water Meter Size 5/8"; I"; $
I Penalty $ Pressure Reducer $
I Plumbing Permit Fee $ 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'(T n'catio' om YOUrBuilding~/~~~;~~ved I TOTAL DUE "'~t.-ol $
~ L-- I Paid /{,?~
uildin Official Date I Date ~'~-O/
1'-2.4IP
I Rec~/
BV~_,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and miy proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to __u_u_..__. 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
SITE ADDRESS Jt.JCj''2.<.{ Ma.v.~h,() ~
. TYPE OF WORK:I:;p<: k:- J
USE OF BUILDING --Sf:P ,
PERMIT NO. d 1- OZfo'5' DATE ISSUED C/- ~- 200 I
BUILDER ~t:>lAAr Dt- t,2 - :2.'~ '<..... ro~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
rATE
I FOOTING I lj f),,,M,/ I 4 ~lol
PLACE NO CONCRETE UNTIL ABOV~ HAS BEENSfGNED
IY --.=. ,~~i~" I I
. INSPECTOR
1
\
J
I FINAL
. I
I ~-~~ I '1 ~( -p.\j
Call between 8:00 and 9:00 A.M. for alt inspections
FOR ALL INSPECTIONS 447-9850
. '.
,.
'\
ADDRESS
I '/9d. <I
DATE nilE
SCHEDULED 7'3J-U) A.r
Lm~ j)d
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO,
--
I-;:;;..ro S
o FOOTING
o FOUNDATION
o FRAMING
6,...-0 INSULATIO~
n -ErFIJjAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
C roil' i.1rn.~=~ ,~~-
Inspector: Owner/Contr:
CALL 447.9880 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI