HomeMy WebLinkAboutBuilding Permit 01-0427
q'lease!VDC! or mint and silU1 at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
If/IOO s/npl</NS
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 4- ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
~eck
o Fireplace
Date Rec'd
I. Wh" FiI, I PERMIT N
2. Pink City
J. Yellow Applicant
~ I r<.. s IIJ
1st
ZONING (ollice use)
1<./
PID ;:'5-.30B- 0/4-0
(phone) 1.1);). - 44-7 -:;tl~
VfiSt>t.I (~) 9.5?-zz.9-~31
(phone)
(phone)
OPorch
OAddition
ORe.Roofing
OAlteration
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submttted 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
;te~J: ~;~:\%dedinspeS~/"', 0 ( c~.JD- 0 I
Signature Contractor's License No. Date
W6srBI/~Y PONOS
JENNIFer<.. J()t/NsoAl
1~9()O SII'1f?K../NS (!"I/<. S V\/
OLower Level Finish
PROJECT COST/VALUE (excluding land) S
'2. .rx90 . C9 tJ I
$ (Per, ? ~ I
$ Ut:).O(
$ 'f,aU
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
ll/i I.~.
c-J1-tJ I
# $
# $
$
$
# $
# $
$
$
$ lis. 2"
I ReoeiptNo. "-< '16' r f
Bv (U'_~
U
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 .~.."t'~.-/ Certificate of Zoning compliance and allDws construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
I Permit 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
- t"'"l (I.
. AYOnrBulldingp~:/)~::__I_
gO cia! Date ~(
,
Planning Director
v .
Date Special Conditions, if any
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
,
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,
...
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
'INSPECTION
RECORD
SITE ADDRESS Jl11O() ~:-tM.\O \<..,'1i\.,'S (l.!' .-
TYPE OF WORK ~
USE OF BUILDING ~PD
PERMIT NO. (j 1- () 4z:J DATE ISSUED 'S -I 0 - 0 I
BUILDER ..jO'^'^-~' ~2 -22 '7-72-~ I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
I~ECTOR DATE
'FOOTING I @:::r I fp ( 1/01
PLA.CE NO CONCRETE UNTIL ABOVE HAS BEEN' SI'GNED
I~ I I
, FINAL
I/W
fJ,.(t'"- d)
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
..., .. ,..
DATE T11IE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
k--{,)
ADDRESS
l'flrJD
S'r1AW'f..... (.
OWNER
CONTR.
PHONE NO.
PERMIT NO,
/ -J.jt?
o FOOTING
o FOUNDATION
o FRAMING
o ~ULATION Occ/L
~NAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
~ --... -.....
/' '\ )
( (I Use F};/
----
----
~RKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~L FOR REINSPECTION BEFORE COVERING
Inspector: II V {' fr,,( (; ""cr:ir/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOT'