HomeMy WebLinkAboutBuilding Permit 01-0402
q'lease ~ or Drint and sim at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
;Z. Pink City
3. Yellow Applic.nt
/4ft; 54- Bl-tJf5 B 1/2.L) 'T)eIq I ~
LEGAL DESCRIPTION (ollice use only)
LOT 3 BLOCK.3 ADDITION )::;.N()J3 HI L-l.-
OWNER /).
(Name) -FJI'_It." y~
(Address) ~12
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
S~\~J
D New Construction
DLower Level Finish
(Phone)
(Phone)
(Phone)
,
}lPeck
o Fireplace
OPorch
ORe.Roofing
OAddition
DAlteration
Date Rec'd
5-3-01
I PERMIT NO'OJ_ 04-6zJ.,
ZONING (a_use)
If! I Sf)
PID 2E -3/0- ()-z;3-()
</q(,~?W
ORe.Siding
OUtility Connection
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ished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
-m tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed inspections.
I hereby certify that I have
authorized agent for
submitted plans.
enter upon the pr
I Pennit 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
I Gas Fireplace Permit Fee
PROJECTCOSTIVALUE (excluding land) $
Signature
$
$
$
$
$
$
$
$
5 oao. -
11I.'Z.~
/'Z.31
"Z . <;;0
This Application Becomes Your Building Permit When Approved
Building Ollicial
Date
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter SizeS/8"j 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid /.K". D~
I Date ~-tl.(J/
c:u> ~/~.,
v ~ ~'2..
Date
# $
# $
$
$
# $
# $
$
$
$ I ~".O~
IRec~i4 o'3~~
Bv ./
I
. 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 C~~_t'_.~J must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
"
PRIOR LAKE ~~rtD~~~~~TD~~SPECTION
INSPECTION
RECORD
SITE ADDRESS \4C:.S'~ '&L..Uel>lP1) IlL
TYPE OF WORK VG-C\c' I
USE OF BUILDING ~ A/I'Z-
PERMIT NO. e> 1- D4-02- DATE ISSOED S I ~ / C) (
BUILDER'~C.H:P.~ 5H€!-PoN ' I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR , DATE
I FOOTING 1-r;..\)C1-Wf I 61+ Of
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN.SIGNED
1.....A.i~~ I I
I FINAL
I k I <PI/ /01
, . I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
I
I
I
',.'
"
-
.
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1Ljfn~L/
SCHEDULED ~ -/~ J
~
I/o?/)
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J-.J-M 0-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.a1'lNAL
o SITE INSPECTION
---:"'-"'...~~." ~,
..-.." .. .
~.c/
l
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~
p
J
i1rtJ ~
U
~RK SATISFACTORY, PROCEED
~~RRECT ACTION AND PROCEED
o CORRECT WORK, ~L FOR REINSPECTlON BEFORE COVERING
Inspector: ft7.>r I OWner/Contr.
/
f:ALL oU7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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