HomeMy WebLinkAboutBuilding Permit 01-0367
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'1--- J.S-6/
). While File
2. Pink City
3, Yellow Applicant
I PERMIT NO. OI-3tP-r
Please e or tint and si at bottom
ADDRESS
10q~,! WIL..D6fR fJlS-S,S
LEGAL DESCRIPTION (office use only)
LO I BLOCK
ADDITION
OWNER
(Name) ::...Btt..3
(Address) I ~9"
ZONING (officeuse)
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TP...
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UI.m tt. (), mllot'lltl\
W,ld>tr" ~ Tf'.
(Phone) q~ .,)d.(" ~~7(P
BUILDER 1'>_. J~
(Name) 1!::S!1 M ofJ/"
(Contact Name)
(Address) /77oe Fl'tldw!J.f- ~ A.t"IY\It'\~~",
(Phone) (I) fa SBiI ~~ ~
(Phone) ~
jI.1 IN . ss-o 1>-'/
TYPE OF WORK
eck
OPorch
OAdditioo
ORe-Roofing
ORe.Siding
o New Construction
OAlteration
OUtility Connection
o Fireplace
o Mi,c.
DLower Level Finish
PROJECfCOST/VALUE (exc1udingland) $
<:to 00
I hereby certify that I have furnished information on this application which is to the best of my knowledge tn1e 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 loca1laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e property to rform needed inspections.
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
15G- Jtjjn780
Contractor's License No.
,; /J6/6/
ate
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
'.-
Sewer/Water Connection Fee # $ .'
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 106:oe\
.
1~~,.s1~J'
This Application Becomes Your Building Permit When Approved
Building Official
I Paid
Date
/orj~ !o/
Date
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 LAK'E
INSPECTION
RECORD
SITE ADDRESS ~ w,~T~,-
TYPE OF WORK ---.:I2..Ec....9
USE OF BUILDING f2es kif<. t I
PERMIT NO" 0\- 3("., DATE ISSUED ~. (Of
BUILDER F":~~v ~~
NOTE: THIS IS NOT A'" PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR I D~
I FOOTING I,eN < I '7 ~7 t!:J J
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
...1 ," ",'
-~""~
. f r all Inspections
FOR ALL INSPECTIONS 447-9850
\.
.. . ~. ..
DATE TIME
5,-1-0L a.'3D
109~9 !iJ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO~ // 0 SEWER HOOKUP
""tT'1'INAL fl..-!:J PLUMBING FINAL
o SITE INSPE TION 0 MECH FINAL
COMMENTS:
/- 3 to 7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
I. (3) 1Me,w..~ h".,",^-
RY,PROCEED
AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Conlr.
INSNOTl
CODE REQ lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!