HomeMy WebLinkAboutBuilding Permit 01-0328
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT t/ -/8-
(Please.!,VDe OfOrint and sil!ll at bottom)
ADDRESS
5'1'10 Co.rJ,'k..A R,'d'je lr",.l
I. While File
2. Pink City I ,,?? 0'"
J. Yellow Applicant . ~",""l)
SL
LEGAL DESCRIPTION (office use only)
LOTio BLOCK ~ ADDITION CoreLlA.,,). rt'&'o".<.
.
OWNER ---\ <:/
(Name) . ,'\M I~ Cl,^\<C;
(Address)
BUILDER
(Name\
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~ck
o Fireplace
o Misc.
DLower Level Finish
PROJECfCOST/VALUE (exc1udingland) $
OAddition
DAlteration
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 ~p6n the ...:~..."aJ to ~orm neede~eCtions. \ \ _ \ (1.., .- 1D \
X"''-\ '...,'....1'\1.\00 ~,gna('tu~- ~..... '.~D '
...) _ J!i Contractor's License No. ~
1$
$
$
$
$
I $
$
$
I Permit Valuation
I Permit Fee
I Plan Check Pee
! State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I, '700 .od
(PO, /6 I
3'1.0(,. I
.~sl
I
I
I
I
I
~ I
!4I1~B/6Buildingp;;~7;~;ed
Building fficial Date
ISf. ~-
(Phone)
(Phone)
(Phone)
OPorch
ORe.Roofing
ZONING (o!lkeuse)
Pm
I Park Support Pee
I SAC
I Water Meter SizeS/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/0 t2L_Q/
4---?<?-O I
PID '20-'2..';7'-0 l.{1- C
QS2 - tfCll) -t)f{E 0
ORe.Siding
Dutility Connection
#
#
#
#
$/00,01
I ~~ceYr r3~ ()
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.,
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS 6'1~R~2Btte -r,-,
TYPE OFWORK [)pr (c
USE OF BUILDING SF 0
PERMIT NO. 01-03&6 DATE ISSUED Lf-ler-'2:0/
BUILDER ('l<-c.-k.~ l/c;O- c> <(10
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 115 ~~~CTOR I 4-J~T:~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
'.tr _ JIS " I I
, FINAL
~
,
(o r;) 'f !tJl
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850'
. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 9,'00
ADDRESS 5'77(J ~ ;t.j)~.$U TIZ,
()
OWNER CONTR.
PHONE NO. PERMIT NO. (JI - 3~'t'
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING @ o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
g FINAL o PLUMBING FINAL o GASLINE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS: J) raJ<-
-'--"'~':...~'.:::::.:.::"~
-~,~-,,- I" - . . ~-- -. . .
C (j~ '-~~~
'---------.-
I'
. I JVvl-i tJ c.u: I
)
'9 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: M- I Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNon