HomeMy WebLinkAboutBuilding Permit 01-0487
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5- Zl.-O I
I. White File
2_ Pink City
3. Yellow Applicam
(Please.!VDe or Drint and Slim. at bottom)
ADDRESS
I ZO/Z;(Officeusel
ll/l./do
'Vove
C1'
LEGAL DESCRIPTION (office use only)
LOT 4.BLOCK I ADDITION j::IIJOB /t1u- 5711
PID z,S-dlP8 - ()OZ-~O
OWNER
(Name) ~ ~t';.
(Address) t'-lttop 't)Ov'C- CT.
(Phone) "Z.:~ ~ - "3 b" I
BUILDER
(Name) ~1':Ot) ~'1..'l(l.uc...\\CY-I. \...L~
(Contact Name) Jc:el- /J>.s2N b./vL
(Address) \1o"2-~ M\\Le t--l. st'l"'t.~et!:... \-\,v
"'1$"2..- 4Cfb-39 'l.tf
brz..- ~""'1c;2..b '3
(Phone)
(phone)t:t.=t<.. '.
~-S-"31~
~ck
TYPE OF WORK
o New Construction
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteratioo
OUti1ity Connection
o Mi,c,
PROJECTCOSTIVALUE (excluding land) S
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 y.....y....." 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~po e pro ~o perform needed inspections.
X I~ - ?!. "2-O0~\"~ S-"Z:Z..-Ol
Signature Contractor's License No. Date
I Permit Valualion
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penally
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
ThisTJtU::" J
~IJ1)1~Buil~gp~A,
Building Official I Dat
4000. - I
Q"1.2..5 I
G?~. 2-\ I
'-- -I
I
I
I
I
I
$
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
$
$
$
$
$
$
$
$
#
#
Ie;.. t. .4Co
~
I ReceiptM 3"1 {, I 't
BV;;W\..../
'I
I Paid
I Date
I" Z-.. -f-"
,i;;.zzAJ 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 '~."J"~'''''j Certificate of Zoning compliance and allows construction to _v..___..__. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, jf any
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
Planning Director
"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS t t4-~"Cb\le S.
TYPE OF WORK ~~ /
USE OF BUILDING 12-ES A-/tZ-. / I
PERMIT NO. (/ l - 4~ -, DATE ISSUED 5/27-/(") I
BUILDER LA-Ic...u..JooD C-c,... s~ ( ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I Ir;;O,R. I a,/ ! i;1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SiGNED
.~?:' I Ifr. I tp/S/t;1
,.~ . ,
~.
DEPARTMENT OF
BUILDING AND INSPECTION
,
, FINAL
I },} lJ IVf
. .
Call between 8:00 and 9:00 A.M. for all Inspections
. FOR ALL INSPECTIONS 447M9850
,
0-fl-o{
/J() i/C!:- C?:I-
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
SCHEDULED
ADDRESS
JtjtlO()
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIS!t1v
OiI"ANAL /./1<-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING F L
o MECH F
COMMENTS:
1IfIlII.-. .,........"..~
~_..
'-- tV
IN~A
1
~
...--
DATE
TIME
11./
/-{jP'7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
~ J
Inspector:
Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
O<SNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REALm & SAFETY/