HomeMy WebLinkAboutBuilding Permit 01-0537
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3=- .;l9-O 1
(Please ~ or vrint and sign at bottom)
ADDRESS
I/~~I Sunm.'l 0..\ V'"cle
I. While File I PERMIT NO 37--J
2 P;,k c;'y 'Ol-o.~.
). Yellow Applicant ~..J,
J I R;SD(Officeuse) I
LEGAL DESCRIPTION (office use only)
LOT I BLOCK S ADDITION
UJoodvi -e 1.1) Es-I-Q.J.e5 Plrb?S-;;;?'O-O!?-O
~V::~R..,L/ LV .::rohnsnn (Phone) (is;} -gq~-77d()
(Address) , 7lt:JA-5 -cJUr1 i{)eY ~hL..a-k:1L.I/"1 IT"
60me
BUILDER
(Name)
(Address)
r
TYPE OF WORK 0 New Construction ODeck
~Lower Level Finish 0 Fireplace
o Misc.
-
(Phone)
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
rpOOO.OO
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 J....~t'-..J 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 t'.~t'':'''J to perform needed inspections.
X Signature (l~1\ fl..-l Y
I Permit.1ke VALV6
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
q. Ol:lO .t'27
,
R1.';>~
2A)O
qD.DO
/J
. Your Building Permit When Approved
40.M
)- '?/-a.ol
PROJECT COST /V ALUE (excluding land) $
::;")D7
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
Other
TOTAL DUE
5" -Jr::, -c }
Date
$
$
$
$
$
$
$
$
$/t 1. 25
.,
I Rece.ffJ!to.3 'ilt/17
By I{'/ J
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and laJ.y proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
I Paid
I Date
I~ .,. L.r
~ -II oj
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 /7)B7 S'{JIA t'C:-'1- {' 1-,
NATURE OF WORK _ &<>..L...!- t:.....-..tQ
USE OF BUILDING <SFA
PERMIT NO. Ot - n.C)--:='J'1 DATE ISSUED ~, ~I- ~~(
CONTRACTOR M (,J (kt.......~ PHONE_95-:?-~7?-77:ZO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~hEJ'll'""",,~
A.Lr. tatQ~~.Jao::F ~
~
~~
Jh,
.~.
7j/?kl
7j --A1/of
6/1'1/0/
7/i ?M/
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
", 12. ff. R./dIJI
I!..ff !f /.;-/ ~ /
f6.f{, ~d/'J'
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 placed near main entrance.
~.~ .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.1J )NSULA TION
~NAL
o SITE INSPECTION
COMMENTS:
-
SCHEDULED 9' ~ - /
4~
Of -CJS 3'7
//1:3 R/7
CONTR.
PERMIT NO.
o PWMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nME
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RE PECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY/
"""""