HomeMy WebLinkAboutBldg Permit 01-0626
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
t,. ZZ--tJ/
(Please .!VQe or Dr nt and sign at bottom)
ADDRESS
/5308 Oa.t( edge. C,v^c1e...
I. While File
2. Pi"k City
). Yellow Applicant
ZONING (office ",e)
K/~D
LEGAL DES :eRIPTION (office use only)
LOT ft, BUCK -3 ADDITION OFti::- .eJ0f56 c-o(}lCT /s:tfl1)O!JPID 25-083-045-0
OWNER
(Name)
C; ctr,,1) TI o"""p<:..nV\
1.5308 O<'i/C rZ,'/j ~ CIrcle..
(p(~
952-447-2593
~2-- 12-"- 7~ tf---I-
(Address)
BUILDER
(Name)
$"A-ME
a <, <'i '" {? u-e...
(Phone)
(Phone)
(Contact NaIr e)
(Address)
DLower Level Finish
~eCk
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
DUtility Connection
TYPE OF W(I)RK
o New Construction
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify tl at 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 'or 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 bUllding OffiCIal can revoke thIS permIt for Just cause Furthermore, I hereby agree that the city offioal or a deSIgnee may
enter upon the~_~rty ~./d InspectIons
X y ~wy Y-,.M,,:_ _ c:, -22--0/
- SIgnature Contractor's License No Date
I Permit Valuatic t1 I : Sr'Jl'9 _ c.i1) I Park Support Fee # $
j Permit Fee $ ~c.j.t<)r) 1 I SAC # $
1 Plan Check Fee $ S$""'. to 1 I Water Meter Size 5/8"; I"; $
I State Surcharge $ .1;)1 I Pressure Reducer $
I Penalty $ 1 I Sewer/Water Connection Fee # $
I Plumbing Perm t Fee $ 1 I Water Tower Fee # $
I Mechanical Per nit Fee $ 1 I Builder's Deposit $
I Sewer & WaterlPermit Fee $ 1 lather $
I Gas Fireplace F ermit Fee $ 1 1 TOTAL DUE tAU6D (,.'Z'2-o1 $ 61.e~
(f1i;,~:~;;;;:;:: -'"
I Paid Wf X~ I ~~ceiPt NOp '-I,
I Date 10) ~rl.-t U }
Bilildil(g , l1lfciaI)" Date
,
This is to certify tha 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 :ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
] 'Ianning 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 LC).\rr:>A Ch"," R\'~ CJ-,
TYPE OF WORK t0e. ~ D.ecC,- ('2..;cr~
USE OF BUILDING <:.cP
PERr~IT NO. /)l () (p -Z-(p DATE ISSUED C, - 2 2 - ~(
BUlL )ER (~4L..vrC;~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
/ FOCTING I ,t;:CTOR I 7/c;./~TE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
rJq;(A~ I I
/ FIN~,L
A (
~ I~/o)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
SCHEDULED R .7- 0/ _A- T
A.M.o~p.VI.
(J1f K.- et n6lh C.1JZ.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1530B
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..;( FINAL DE:~
/D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FIN
COMMENTS:
(
,.
DATE TIME
1- & Z(p
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.j
)l1WORK SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK.!J!.LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl