HomeMy WebLinkAboutBuilding Permit 01-0536
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t. White
2. Pink
3, Yellow
File
City
Applicant
(Please IYDe or print and sUm at bottom)
ADDRESS
1/:,~5
.sunv-o..y C. i fCiI-e
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK 3 ADDITION WOW vi -euJ
Date Rec' d
S'd-Cj-G /
I PERMIT NO. 0/ -053~ I
I R~N:Sfjeuse)
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(Phone) CIS;). -~q;).-77'::Jo'
.
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OAddition OAlteration OUtility Connection
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PROJECT COST IV ALUE (excluding land) $ a..OUCJ.
~;:e~R.).AW ~nnSOn
(Address) l,b45 (JUnioev R:x-+h
BUILDER
(Name)
:5 a. VY\ e..
(Phone)
(Address)
TYPE OF WORK
o New Construction
ORe-Roofmg
ODeck
OPorch
o Misc.
~Lower Level Finish
o Fireplace
ORe-Siding
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 consouction 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
;t::J?;e7m~rm~;F'7S0; /1 (J I t1/ DO -, '5 -d-S -0 J
Signa ,4 Contractor's License No. Date
'2.coD.OO
I Permit Fee $ (. ~ . '2~ I Park Support Fee
I Plan Check Fee $ I SAC
I State Surcharge $ I.od' Water Meter Size 5/8"; 1'"
,
I Penalty 1$ Pressure Reducer
Plumbing Permit Fee 1$ Cfo . fX) I Sewer IW ater Connection Fee
Mechanical Permit Fee 1$ I Water Tower Fee
I Sewer & Water Permit Fee 1$ I Builder's Deposit
I Gas Fireplace Permit Fee 1$ I Other
~J 11 I TOTAL DUE
"t When Approved _
Date
I Paid
I Date
Planning Director
# $
# $
1$
1$
# 1$
# 1$
1$
1$
1$/0$.2.5
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUU:,DING AND INSPECTION
SITEADDRESS 1732~ ~~rO---
NATURE OF WORK CL. F;<--'A...J.j(
USE OF BUILDING SF/\
PERMIT NO. (){.()r:;3Co DATE ISSUED ,C\ ~?I. '24t:J(
CONTRACTOR tAW .Jc>~ PHONE g,? -?7?i>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
RAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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ih- 1!1d/fJ~
A..._ i,t~/6l--
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
&.
iff:J '3/'l--
.
,w{t..- t3r I:-
4,
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall,be p'laced near main entrance.
- ,
if( ?- 'L{ rz."
If/:; ~/6 2-
,
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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a
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
OA TE TIME
PHONE NO.
PERMIT NO. -.f)/ - 5 ~ ,
o PLUMBING RI
o MECH RI
o WAnER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(I~
~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
--,..0
)td WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1N9NOT/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!