HomeMy WebLinkAboutBuilding Permit 01-0431
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2_ Pink City
J. Yellow Applicant
(Please .!YP5:: or print and sign at bottom)
ADDRESS
, L(05) W(v,d .:bntf Gv.rjej -(7t2,ior Lake.-
V
, LEGAL DESCRIPTION (olliee use only)
LOTZ BLOCK 2- ADDITION W/NOSONfEJ
.
~':e~R~Dh ~vhff' rf+nril~~e~n- l!eM
(Address)L.{OSS- Ldl~ ,~ (1. (Jt..&r k/(p
J
BUILDER.c:.,.l ~
(Name) . J:- r
(Address)
TYPE OF WORK
o New Construction
~Deck
o Fireplace
o Misc.
OLower Level Finish
Date Rec' d
-//-0/
ZONING (office use)
Pt.lSO
PID 2E; - '23t,- t105 - 0
(Phone) qS~-L{(f7-lffVq
ml'1 5537)-'
(Phone)
OPorch
OAddition
ORe-Roofmg
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
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 Y.~Y-','J' to ormneeded 'n ections,
x
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
/ 111
T. . s App' ' es Your Buildin Pennit When Approved
$
$
$
$
$
$
$
$
~. O<':lt"l . t!)t!)
.
8? 2t;
S' /.f, U
(,$V
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
Park Support Fee #
SAC #
I Water Meter Size 5/8"j l"j
I Pressure Reducer
I Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
I TOTAL DUE
Date
$
$
$
$
$
$
$
$
$ /.3~. ~~
I R.eceiP~r~39r7J
By /, t.t(__
;,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may lSroceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constnlction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
~ -I/-'lh?/
Date
I Paid /3 J/J. ~fn
I Date ..-_//. fJ /
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.
~
PRIOR LAKE
..
INSPECTION
RECORD
SITE ADDRESS 4-055 WINO 80/\/G (!,1,e~G
TYPE OF WORK or; r'L .
USE OF BUILDING R.E"5/l-/ /2-
PERMIT NO. IJ/-043/ 6ATEISSUED 5-//~() /
BUILDER 1<013 ~ PHONE #
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
I FOOTING I "Rr/ I S-//C3~1 I'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I I
I FINAL "
A.
I (gIIS/ar
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
,
SCHEDULED
DATE TIME
~"/.5.()/ "'2-:crV
ADDRESS
4-0~ WIIIO ~A/G ('j/2.
/
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
FINAL D 0 PLUMBING FINAL
,f SITE INSPECTI 0 MECH FINAL
COMMENTS:
0(- 04-3/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
#'~
..-J
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~CALL FOR REINSPECTlON BEFORE COVERING
Inspeelor: ~ ~. Owner/Contr.
~ /
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!