HomeMy WebLinkAboutBuilding Permit 01-0316
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please.!VDe or orint and sien at bottom)
ADDRESS ..-,-
jS-i)IS- ftf]a /OOS~ . / .r
I
Date Rec' d
ZONING (office use)
/ RJSD
LEGAL DESCRIPTION (office use only) I
LOT1 BLOCK / ADDITION/h/rd IJdcjN 10 f2a~oJx;rY't I?fJ~fo.Q5-3lf:l-OO)-4
. 1 ,
~':'~R /(e fly 1- P,chayd ~()1~ (Phone) ''1'1'7- 3371
(Address) I;:; OJ S !lPJ)t<-) DtJ5tL I r
, , l.-l
/(o.ber-+(J)LrlC (~1J5fr ~ :tf;/If'{) (Phone) L/'-!7- fa 710
Il.jCJD)" /lfJ/lltJi-fDLL Pel!Vc /,,(}'hone) W/J ~1'7'O
Bob U o...l'""K fJr; or t-at:c: 5"S37d-.
BUILDER
(Name)
(Contact Name)
(Address)
~eck
DPorch
ORe-Roofing
TYPE OF WORK
o New Construction
o Fireplace
DAddition
DAlteration
PROJECTCOST/VALUE (excluding land) $ /f3oo,
Dutility Connection
DMisc.
DLower Level Finish
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
~teruP~;Zp/~lrmgnanture in ectio sVJJ_~) #-II?{) C/-/t-O)
-fLf/ Contractor's License No. Date
I Permit Valuation
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 Firepla'71Permit Ffe I _ $ ~
I / ;Z,...-- I I
This A . ati ur Building ;:r:;tp;ved
I Dei<
{(1,00. -
"" '6 p:;
4-/.04
.QO
I Park Support Fee
I SAC
I Water Meter Size 5/S"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$ 105,09
.
I ReceiPt No. -. -j(r-S' II
Bv S-c..- .
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.
I Paid / !JC)_ (J '1
I Date 1./ - JI.., - 0 I
~1(7f(
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
t,IZ 0/ /: 3-0
ADDRESS
/50/5 /1PPALoo.HT
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:J1f FINAL .Den,
fIT SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
& - r:::I/!Vr
I
() ('03/0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'~
~,
........~~...~,....."~
/
..;j
J!'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~I
Inspector:
OwnerfContr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT1
1\
\
I'. .,
,
I
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /501, Ap,.OqLOO>A T~
,
TYPE OF WORK ~IL .
USE OF BUILDING f2c3s A I~ /
PERMIT NO. k 01- 31 G DATE ISSUED 41/
BUILDER l-J,pfS C,.~ I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I fu I 4/II1/)1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...LP'F1J.MU IIilI I I
I FINAL
4
0f I &/1 ,)/tJJ
, ..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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