HomeMy WebLinkAboutBldg Permit 01-0616
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{r lB. 0/
I. White File
2. Pink City
3. Yellow Applicant
(Please type orvrint and siJID at bottom)
ADDRESS
/6(0 7:J W'Y1d~nL LAr1E
ZONING (office use)
el SJ:)
LEGAL DESCRIPTION (office use only)
LOT (, BLOCK Z- ADDITION IVfW~-z;.;Gs.r ,P()N~ 2'-'D
PID 25-33(- 014--0
(Address) 1(; w '7 ~
~iVV\ '\-~rAC/.l 5roo\;:-<::"
I
1,(/" ..... r~ 'S. () r
(Phone) cr<. A - (jc/1- c:l rn s ~
OWNER
(Name)
CAY\~
BUILDER
(Name)::1l ^ "'" f '"- ~ Ii!: (")
(Contact Name) ~ .. '^'"' c::, c
. ,
Can -\ (' Ac I-u (' ~
h I Au I~ I
(Address)
SS'7.,o
s'"
\.-.I'\l'h~(
~. I
. , -t
P r \a r
(Phone) 9 S'ii - <(</7- 5" 37 ((
(Phone) _C I') - -:; 'T 7- :;f '"). S ';
L Ah,
TYPE OF \\IORK
o New Construction
/
~Deck
o Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
o Misc.
DLower Level Finish
.,;~ CNl-Y ~ 7#1$"_
, ;.If;;-'
DAlteration
OUtility Connection
PROJECfCOST/VALUE (excluding land) $ (!/10 (J
!:-
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 buIldmg offiCial can revoke thiS permit for Just cause Furthermore, I hereby agree that the City official OT a designee may
:\\:;:::'::fO~jIDSpec~ :J.~ I '2 Uo ';).. ~ -/7';00 I
, ~) SIgnaTure ~ . crJf.jactor's LIcense No. ~ Date
I Permit ValWltion I Park Support Fee # $
I Permit Fee $ '" I SAC # $
.J'I">'r'l.I'>(">
I Plan CheckFee $ R3 ."J..~ I Water Meter Size 5/8"; I"; $
I State Surch~rge $ t>-L.l . I \ I Pressure Reducer $
I Penalty $ I . SO I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
1 MechanicaL Permit Fee $ \ Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas FireplilKOe Permit Fee $ I TOTALDUE $ /38.er,
I Paid /~ pi)(; I RBVeceiJto~J
I Date /.;'?.A _1"'1 /Y
/
~-k-;:;;~;;;
Bui ding o~ 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 construction 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
INSPECTION
RECORD
SITE ADDRESS J /.olD 7d-. W,'w:l.g~r (--LA.
TYPE OF WORK ~k..
US~ OF BUILDING ~ pD
PEFJMIT NO. Of. fJh/{P DATE ISSUED to-2n-~1'
BUI~DER I-\"WlR .,j... Y.....~ Cn.Jt.,.,,~!-g 1.12- 5t>1 t?- 2.'2$J'
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 FdOTING I /?;r-, I ~/;..t;;"(OI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l~ I I
I Fit IAL
dr.r
I 8"1.)/)/ b /
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED W..OI 11.1.
ADDRESS / M" '72- ~V 11'.1 D5 QJ::.- LN.
OWNER CONTR.
PHONE NO. PERMIT NO. /-~/ro
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION @ o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)!. FINAL oea:- o PLUMBING FINAL . o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
........
(" (V _ ,)
~
\
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W!iCALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447..9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI