HomeMy WebLinkAboutBldg Permit 01-0638
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(p- z,(p -0/
1. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT
ZONING (office use)
Ii!./
(Please tvoe or c rint and sign at bottom)
ADDRESS
i419 '1
i'5lvp{,;,J t(lA'll
. N~
Priur
k\<L, """t'V
LEGAL DE: :CRIPTION (office use only)
LOTL '3 BLOCK e,-.+ ADDITION ~t.lb ij;n ~C,,!'J hMrt,o(\
PID 2.5-339- 0-1-91,-0
OWNER
(Name) D.
(V\.AI j.)
\ '1.11'0"1 Bl"-l? bv~
(Phone) q~L
- 2_ ")3 - I) 1.. ~
(Address)
l' f'v.; \
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
~eck
OPorch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ ~ S- DO, 00
I hereby certify hat I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that J am the owner or
authorized agen 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter upon t'tt<..li.115 to Pjrform ne,ede. d inspections.
1'1--- JJ AI.....- "'Z..l,/ ell
DlUW ~turcY Contractor's License No. ~
Permit Fee $ .3,000. 00 Park Support Fee # $
Plan Check I ee $ 83.'2.0;- SAC # $
State Surchal ge $ 5'1, (I Water Meter Size 5/8"; I"; $
Penalty $ /.':>U Pressure Reducer $
I Plumbing Pe mit Fee $ Sewer/Water Connection Fee # $
I Mechanical I ermit Fee $ I Water Tower Fee # $
I Sewer & Waler Permit Fee $ I Builder's Deposit $
I Gas Fireplao 1 Permit Fee $ I Other $
/) /; I ~V /~.e;0
'(ThiSAP . a rourBuildin~~~~;;;ed TOTAL DUE /.-7..7-/)1 $
( I Paid / .:J 't .}?b I Receipt No. ,j'1!{'~U
uil ~ ~Cial Date f I Date /"'! CJ-I) M / By !}.{! ~
./ ( / 1/
This is to certifyt~at 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 th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i.~sued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-/89 /3LUeBI/C..-O 77ZA-1 L.-
TYPE OF WORK D6e.K....
USE OF BUILDING ees ~//2-
PERMIT NO, /) /. OtP3f3 DATE ISSUED I!" . 2 (., . () I
BUIL.DER V/lVIO /'1,q/N PHONE#952--2.33-/3Z6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~PECTOR DATE
, FO<:>TING I I ~. c )
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
",-~~",,,..G I I
, FINAL
/'\
J0:r
,
I '1J J-'ll ~ I
I
1
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
SCHEDULED
DATE
~b-d(),
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
kT/
ADDRESS
/~ItN ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f)( ~&3 '?
o FOOTING
o FOUNDATION
o FRAMING ;@
o INSULATION
!.! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~
i.':-".~-~
\. (I.f&r-::u ~.......)
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447.9850 loR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl