HomeMy WebLinkAboutBuilding Permit 01-0368
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4'z(P-O/
; vz: ~:~ I PERMIT NO. 01- 0 '2/_t2
3. Yellow Applicant ...JlOV
(Please tvD~ or orint and sUm at bottom)
ADDRESS
It.. ~ 7l..\ V U:...-'to no.. ~ '(' >I't S €
LEGAL DESCRlPTION (office use ooly)
LOT 3 BLOCId"- ADDITION .......... ,
OWNER,.-:-
(Name) C::1e..o..e...
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~ M,o.(':j
La. f"S 0 y\
'I) ~/^,A1.- ~.a&6
(Phone)
(phone)
(phone)
,BlJeck
o Fireplace
OPorch
OAddition
ORe.Roofing
OAlteration
ZONING (office use)
PUD
PID Z-5~.335 -tJ23-D
q5~. ~-;).lo~ CoS-gq
ORe-Siding
OUti1ity Connection
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 consblIcti.on will conform to all existing state and local laws and will proceed in accordance with
submitted p. I am aware that the b . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;lerUP y.vy_., ~n . spections. 0/-"- ~I,;._ t:> I
/ s!inature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I Stale Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Consttuction
OLower Level Finish
PROJECfCOST/VALUE (excluding land) S
/,3tJO.OO
$ +7. 110
$ 3/. 13
$ . ,S;-
$
$
$
$
$
.
Permit~/~
-~.
I Park Support Fee
I SAC
I WaterMeter SizeS/8"; l"j
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/
76/ ~ r
.." .". - '" /
-I ...> 1;"
$
$
$
$
$
$
$
$
$ 7'1. I.~
I ~;:F:'" ~".!S/lr
#
#
#
#
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 clocument
wben 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
RECORD
SITE ADDRESS /1a374- V/6-mJe//1 CtUJeI/e;-
TYPE OF WORK 06~
USE OF BUILDING JZ:I5<:; }qllC-
PERMIT NO. -LJ/ - 03(08 6ATE ISSUED 4-. ztc -0/
BUILDER / A .e5oN PHONE # ZZI/L.::.../b58 <1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 11)~V:';ECTOR I S--JD\DATE
PLACE NO CONCRETE UNTIL ABdvE HAS BEE" SIGNED
,. -t.....:I I I
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
KiLl shil
, II ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CATE TIME 3d
CITY OF PRIOR LAKEr 10...?'l) , I
INSPECTION NOTICE SCHEDULED .::J - 1l5' V 11"-
!h37'11//C!~ ~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o/-36f"
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATI~ "" '" an 0 SEWER HOOKUP
[Jo1:INAL U '-- 'C t-fY 0 PLUMBING FINAL
/15 SITE INSPECTION 0 MECH FINAi."~~
COMMENTS: 'VAc,<e!<. ,
1....-"-,0 r<:. <; ..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/WORK SATISFACTORY. PROCEED
o CORRECT ACTIONf!PROCEED
o CORRECT won. A.L FOR REINSPECTION BEFORE COVERING
Inspector: f,/..... Owner/Contr:
I
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
JNBNOTJ