HomeMy WebLinkAboutBuilding Permit 01-0279
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvQe or print and sign at bottom)
ADDRESS
/.s-~~),.,() Sc...Le."?'bblL C-tL
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
I White
Pink
3 Yello\\"
File
City
Applicant
Date Rec' d
4,9-0 I
I PERMIT NO. (J 1- 0 7-111
I I fZts<5'"'") I
ADDITION Lv j ,,/\ <\lll1j C>~ 7~F L.tF
;) ~I)~.J,;~ PID ;7(;) - :J I J.. - (X)/- 0
OWNER
(Name)
C.I'A-Ij LA V61'A
/, ~ /""0 ScL ~~ bEL-
(Address)
BUlLDF"
(Name)
.....
/OH1
,
7 t.. 1"\0
ktt 5.,!- Ie.....
SotJ..JL s L OU ~,(..
(Address)
. .
~eck
o Fireplace
OLower Level Finish
o New Construction
TYPE OF WORK
o Misc.
(Phone) 9.rz- 2z/""- (,ZoO
CO-"t.A
(Phone)
qj2- lfl{o... /Z-79
Pt<.-IOI-
.
/....L~
ORe-Siding
OAddition OAlteration OUtility Connection
00
PROJECTCOST/VALUE (excluding land) $ 7000. -
S, <>00.0<:)
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I
I Water Tower Fee
I Builder's Deposit
#
#
Size 5/8"; 1 H;
Sewer/Water Connection Fee
#
OPorch
ORe-Roofing
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
:teruponthepro~e=ne;:nspe~~~_" ';;0/7 ~I q 4/ () I
Signature'/ Contractor's Li~nle No. Date
$
$
$
$
Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
, :.2-r~?,:?^:;nnALDUE ~. $ g9J 9 b
Q. ~ I Paid /3f3.0h I Recei~ . ~'i
B . fficia Date I I Date 4--9. rl ( By
I ' /
This is to certify that th!;.equest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m~y 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.
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Planning Director
B3 .'2.5"'
59 . ( l
I.SO
#
Other
Date Special Conditions, irany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
$
$
$
$
$
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /53(00 SM;etJ60EK... ~/ ~ .
TYPE OF WORK .I/EZ!.J/
USE OF BUILDING I2Er ,q( IC-
PERMIT NO. -.fJ/-027CJ DATE ISSUED 4-tj-O I
. ,
BUILDER J:::J7J'fiL
NOTE:. THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I 'R J:~:OR I ~ / I~ 01
PLACE NO CONCRETE UNTIL ~HAS BEEN SIGNED
____ I I
, FINAL
I lS~~~ I 6"i,s-lDf
Call between 8:00 and 9:00 A.M. for bll inspections \ ~.
FOR ALL INSPECTIONS 447-9850.,
,.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5"-5-01 Ar
y hya::d~Ar~
ADDRESS
/<5"3 (:,CJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ -.;;-71
o FOOTING
o FOUNDATION
o FRAMING
.~ !!"'jULATION
T ~~7NSI2:"N
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAO/FlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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/./ f)S!3 +~~
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lNSNOTl