HomeMy WebLinkAboutBuilding Permit 01-0697
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!VDe or Print and sign at bottom)
ADDRESS
/ qq!l l'.....,-"" \'0...
I' ~,..~ +-
LOT E> BLOCK I
LEGAL DESCRIPTION (office use only)
l.White File
2 Pink City
J. Yellow Applicant
Date Rec' d
7-/0-0/
I PERMIT NO. 0/-0&'17 I
,C l-,
ADDITION WfL.-D6R.l'JESS PONDS
OWNER
(Name)
'- )Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
x
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
\ Gas Fireplace Permit Fee
L
1tf-~ooJ.
o New Construction
DLower Level Finish
(Phone)
(Phone)
(Phone)
~eCk
o Fireplace
DPorch
DRe.Roofing
DAlteration
DAddition
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
'2, OC)O . OCJ
~'l. '2.~
qS-.of
t.O()
~;n:t~:e~~;oved
V~-f~CiaJ Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
1 / :;'-r d.,b
1-/~-11 /
I Paid
I Date
ZONING (ollieeuse)
;te./S(?
PID 2S -3191 . OOf'j. 0
QS-2- 4/41- S-~R6
#
#
#
#
DRe.Siding
DUti1ity Connection
6 -:;>g - 0 I
Date
$
$
$
$
$
$
$
$
$ //5. 2fo
I Receipt No, '-If )/ I '1
Bv DG
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.
MIL"'u..el
l'
I
/
H c>fIV\ €- O'-<J V\ ecr
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 y.vy"'.~)' and that all construction will conform to all existing state and loca11aws 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 up the Y' ....Y.....J to perform needed inspections.
, f (lc:"".J
Signature
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
"
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Mg? r.,'W\cso"y\' c+-
TYPE OF WORK ~-clc-
USE OF BUILDING SIT1
PERMIT NO. n(.()(o11 DATE ISSUED 7-10- ~/
BUILDER A-f,..0d(1",( PHONE # t/tf7~f:'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I I~OR I 7//~;~E ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
I~ I I !
I FINAL ~yvf I J% IV-U'~'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I' qq 2.. L.n""S"O.1. L--r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIOij. 0 SEWER HOOKUP
.e-t'INAL ('/CtJc. 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
\it
"r I
L( (n;~
DATE TlME
IO-l..J.-
At
1-(;Cf7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-'-
{-,LL
;1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT011WORK CALL FOR RElNSPECTION BEFORE COVERING
)J... (jl-
Inspector: { 0 - Owner/Contr:
CALL 0147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.....n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI