HomeMy WebLinkAboutBuilding Permit 01-0414
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Ave::
ON (oflice use only)
(Address)
9ruO~ SO Ifflt'
IHi t::'
Date Rec'd
I. White File
2. Pink City
3_ Yellow Applicant
I glSO,
PI{ tn -()n - '3PA5
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(phone) </'17.; '2 0 7 /
BUILDER
(Name) -rbtr\ I3cllt<JCfl.OJ/Vtr c.O)J~r
(Contact Name) rb AI I? D~ ("C/t. OINt:,-
<,?lease ~ or Print and sUm at bottom)
L/~") -S- '-'10V$
rGAL DES
I LOT ~BLO K 5" ADDITION
.JDJ.J uS/) J.J
Uq gr- L'f/JJ.J5
(Address)
'1Q 7.2.. m IlUiU~<;; /J rA
. TYPE OF WORK
o New Construction
I? OLower Level Finish
o Misc. K6.p~~
(Phone)
(Phone)
q/.{7- /..ft17Z-
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'57
I'I? /Nt L/!> tc
~eck
OPorch
ORe-Roofing
ORe-Siding
OUtility 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 r.~r--J and that all construction will conform to all 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
enter upon the property to perform needed inspections.
'T...... /? ;n.c J
U'Sihature
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
IPenalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Firepl"rmit Fee
This A .
o Fireplace
OAddilion
OAlteralion
PROJECTCOST/VALUE (excluding land) $ '3 Y'" b
J
$
$
$
$
$
$
$
$
'"3~~. -
~3."2.~
s-of.1\
I.so
BOO~P:{flo~d
'D.
-
-:l.-ob'l~:z.,...,<I
Contractor's License No.
I Park Support Fee #
I SAC #
Water Meter Size5/8"j 1";
Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTALDUE~ue;o S-IJ -01
')'/rl~t>1
/Date
$
$
$
$
$
$
$
$
$ l'3S.~
I Paid /3.t6. 1D~
I Date - ~-nl
I ReceiptW13lfS,,"j
Bv Aft.^-
-;
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. 1bis 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 LAKE
. INSPECTION
RECORD
AVG
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I ft;,q ~ L"{ ~
TYPE OF WORK ~ it:
USE OF BUILDING \'Z..G-S kit.....
PERMIT NO. ~.... Otif- DATE ISSUED
BUILDER Tc:::>t-1 BO(Z.l:,.6e..Plklt:> ~s,-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .
5:/9 fC)1
I INSPECTOR } qATE
, FOOTING I 13. ~ I 5 lO JDI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SIGNED
~~ I I
I
/?
'FINAL f'~ Cj,t:v /1JJ . I /,/;?/!J /
, I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
,-
~HEDULED
Io~ s.T;
ADDRESS ito 9fJ; r1 U~ ~.
'- /
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
]!I: FINAL
o SITE INSPECTION
COMMENTS: 'D~
CONTR.
PERMIT NO.
~-~/'-f
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(OJDo'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ALL F~R REINSPECTION BEFORE COVERING
Inspector: - . ~ Owner/Contr.
v
CALL 447.9860 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTl
ADDRESS
SCHEDULED ~
1& erss- !-YOAlS Ave;
4I-
nYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
/? 0 MECH FINAL '\ 0
1'.-6PCAc6711 ~ ;/ )::z:.,.e::.
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COMMENTS:
--
~
\()
"vt'
~ '--'"'7
/:::. ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOI p. ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: l.l Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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