HomeMy WebLinkAboutBuilding Permit 01-0385
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
.3-8-02-
I. White File I PERMIT NO I
2. P;.k c;~ .ol-07ae--,
). Yellow Applicanl ;x:;J _~
(Please ~ or print and sian at bottom)
ADDRESS ZONING (ollice use)
IS! 'i r ivOOD DUCk /RAIL
, LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
'DMBIJ\ -+- rY)lchi(J GeJ4
"
JfJi r k)OODOUUc -rRAIL
BUILDER
(Name) OUTDOOR ~UILOE='R f :r:.^JC
(Contact Name) J-lt.*rt... YYl. G~S"r
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
PID25 -~:"\7- Os!-(')
(Phone)
g S"Z - Z:Z{, - 3~3r
't1?,.r<..
[AkR
, Y'flN
ss 3?;1.
(phone) bf?- 363 - nr]
(phone)
~Ck
o Fireplace
OPorch
ORe-Roofing
ORe.Siding
OAddilion
OAlteralion
OUtility Connection
PROJECTCOSTIVALUE (excluding land) S
R, .rOO, 00
1 hereby certifY that I have furnished informalion 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 aU 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
;terupon ~~~dinspections :# dO 305 8'10 ~
,. /~--;;r//1 Signature Contractor's License No. Date
I Permit Valuation Nil (II~~ - N~tU (~~.r--
I PermitFee ~~ ~~~$~\""-~ \ ~~+:-
I Plan Check Fee
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Pennit Fee $
i Gas Fireplace Pennit Fee $
(j:j1~~':8;;-L
g fficial Date
I Park Support Fee # $
I SAC # $
WaterMeter Size5/8t1;1"; $
Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $ .
I TOTAL DUE ~ ~~."f)2..- $ r
!! I Receipt lj{j(/7 //
'.s-R-n2-- Bv /f11~.._
T --
I
----J
I Paid
I 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 clocument
when signed by the City Planner constitutes a ......"Y....-J' 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 bour notice for all i...pectio... (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS .1Sl8c;- ~ lO.tJeY \1::-.
TYPE OF WORK JV a...J tle:' (' IS<"
USE OF BUILDING, S:f:'f)
PERMIT NO. OI-O:5as- DATE ISSUED 0-8-0'L..
BUILDER oJ.~y- '60..1~C1 PHONE # CoI'2.-5'B- I"ZA?
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
'FOOTING I /f.;.. 1.3//1/4.;.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, _JIll" I I
, FINAL
Call between 8:00 and ~:oo A.M. f~~~~ctl:n:-J ~ oC)...
FOR ALL INSPECTIONS (952) 447-9850
I
l
I
DATE TIME
CITY OF PRIOR LAKE 1fr/tJa.- 10:Jo
INSPECTION NOTICE SCHEDULED
ADDRESS /5/?S :1.~ :2)lI'~
OWNER CONTR.
PHONE NO.
PERMIT NO.
Ol-!JYS
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,)ill FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ])ecJ'--
~~\I co..ti ~e, b~\kr~ aJ. ct
(:.DU~-h'ot)6 ~N=>_ I ~_ ~
l/~
1--' I I - J
Q'f--. E) I...~/oa .~ 'fJ.>>-U
(..- t l \
{J~~ ~dp
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~\CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ L ~_ OWner/Contr:
CALL ~7-985D FOR nle NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
......-,