HomeMy WebLinkAboutBuilding Permit 01-0282
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO.~/_ D 7-62-
(Please ..!YDe or orint and si~ at bottom)
ADDRESS
/505/ f1IIL05
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK / ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
PK.WV
NW
7116 WILOS 2NO ADDtJ
Date Rec'd
1-//-0/
ZONING (office use)
PUD
!'!~ 25-323-/)/):3-0
(Phone)
15J. - J-Jt - 5SS-S-
(Phone)
TYPE OF WORK 0 New Construction ~eck
OLower Level Finish 0 Firep~ace
APDN -ro
o Misc. ~16T1tJ~
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 perfOr;;?eeded. inspections. J i/I ~<?/
x_4~ - - .#~ ~/) /v/
-Signature Contractor's License No. Date
Ati~NI/ ~ JIILlf PEC.oMI€0
I
I 9)5/ W l Lm P~KWA--v N fA)
.
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
$
$
$
$
$
$
$
$
OPorch
ORe-Roofing
OAddition
OAlteration
PROJECT COST/VALUE (excluding land) $
'f7. '16
"3/. n
.(~<
I, ~OO.(9 (J
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
#
#
#
#
Size 5/8"; I";
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~
44/-()/
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
Appli ti n ec~es ~ng penn~ ~~~ .A;:;;
Date
$ 19. ~~
I Receim(Nh. .3'236..s-
Bv /jr/\.....-
IJ
I Paid
I Date
7q. bf3
, .4-''//' I)J
, .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mW proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and aJlows construction 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
SITE ADDRESS -' .'1(') e:;- ~~ \i:>cJ
TYPE OF WORK Da:t~
USE OF BUILDING g~A-
PERMIT NO. ()/- OZ62-
BUILDER ~ t"Mn....R
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED C(-/ {-Z:Jo(
. ,NSPECTOR lATE,
I FOOTING I 'b .~/1MtJ I ~. 4- ~/ol
PLACE NO CONCRETE UNTIL ABOVE. HAS BEEN SI ~N.ED
~ I I
I FINAL" I "K.~.1MI I 5!&vt( Jo/
Call between 8:00 and 9:00 A.M. f,r all inspections .
FOR ALL INSPECTIONS 447-9850
. .
.'
'"
. ".._.~ .__..,.~,_.u.~'___'___'___ w __ _~..._ ,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/.'5T29
SCHEDULED .3 -:J-9-6{ 2. : 0 C>
/IV I t...-J)S PIC V\JV
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()/-oZ$?-
o FOOTING
o FOUNDATION
o FRAMING
/\/0 INSULATION
-ri it FINA~ D€-~
. :to SITE INSPECTION
o P~UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o P~UMBING FINA~
o MECH FINA~
o EXlGRAD/FI~~ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA~
o GASLlNE AIR TST
o
COMMENTS:
---
(~L~
"
/
/WORK SATISFACTORY, PROCEED
o CORRECT ACTIO~!ND PROCEED
o CORREC~RK"~ILL FOR REINSPECTION BEFORE COVERING
Inspector: _' ~h" (lJA;J Owner/Contr:
CAI,.L 447~9850 FOR THE NE~T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY/
INSNOTJ