HomeMy WebLinkAboutBuilding Permit 01-0435
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
s- / /-0/
). While File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 0I-0~!5 I
lease e or rint and si at bottom
ADDRESS
/ t. ~ S w 7") Il&'D#t:S.S.
RtuL
$.F.
LEGAL DESCRIPTION (office use oaly)
ZONING (afficeuse)
Ie ISO
LOT I+t3LOCK I ADDITION fVlt.-O/l:12.Ale:.ss PtJ/IIO.s
PID 2S-:3/?rOI-f-O
OWNER
(Name)
(phone)
95.2- 4qo-S4?3
)~
C:~-.J
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
D New Construction
eck
ORe-Roofing
TYPE OF WORK
OPorch
OAddition
OAlteration
OLower Level Finish
o Fireplace
o Misco
PROJECfCOST/VALUE (excluding land) S KSo.=
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 the property: to perform needed inspections.
X j'Jd. ~
.;( Signature
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ .
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee $
$
Water Meter Size5/8"j 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
ORe-Siding
OUti1ity Connection
-' s - 1/- .2PD/
Date
$
$
$
$
$
$
$
$
$
es Your Building Permit When Approved
I pOd
D~te
89.~~
5'- >-0 /
I ~fl3'5C~.
5-1(-?b:('
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 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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
,.
INSPECTION
RECORD
SITE ADDRESS /~f3l35 W/W6TCN6SS ~/t-
~PEOFWORK O~
USE OF BUILDING ;;e-S .?r//Z...-
PERMIT NO. V /- 01.3.s DATE ISSUED 5" - /1- 0 /
BUILDER s/r10N PHONE# 440- 5+73
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
.
INSPeCTOR DATE
I FOOTING I I1r ~/ 5/"'~/~ I I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I .1- n .::....1. I I I
I ~I I ~(~~I I
Call between 8:00 and 9:00 A.M. for all Inspections
I FINAL
"
FOR ALL INSPECTIONS (952) 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
~ &--:30
IbjfY>S 11JJc~d.v
OATE
SCHEDULED
ADDRESS
OWNER
CONTR.
1-'1 g5J
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO~ 0 SEWER HOOKUP
% FINAL 0 PLUMBING FINAL
o SITE INSPE TION 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Ie' . _/~~'9.1, )-j
/<S"';:::::::.::::::-::=.:cc..,'_~,,:<:: ~..-~: ....
,..~._,
.j;J ou.f .:,) 6-&-',
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s::o:ECT ~~L FOR REINS:::::~:FORE COVE~NG
CALL 447-8880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1NSNOTI
-