HomeMy WebLinkAboutBldg Permit 01-0642
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
+1-.53
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I. White File
2_ Pink City
J. Yellow Applicant
I PERMIT NO.O 1- (pLjJ-1
(Please ~~ or 0 int and si2l1 at bottom)
ADDRESS
N6
LEGAL Dm CRIPTION (office use only)
LOT / BlOCK 2..ADDITION MRRI/tG6 !f1u,.5 .fm
Date Rec' d
ZONING (office use)
1</
PID 25-3/4-lJ/3-0
OWNER
(Name)
KHAN~
D40
(Phone) "'K',:( -1i::::P-. - {() t '7
(Address)
BUILDER
(N amp\
(Contact Nan Le)
(Address)
(Phone)
(Phone)
TYPE OF W JRK
~eCk
o Fireplace
DAlteration
D New Construction
OPo,ch
OAddition
ORe-Roofing
DLower Level Finish
DMisc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
Dutility Connection
I hereby certify t tat 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 agenl for . hove-me . ed property and that all construction will conform to all existing state and Ioca11aws and will proceed in accordance with
submitted plans. I ware t the b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;te, upon '0 ?( 'hd;)'ections t5--tV-ol
e Contractor's License No. Date
Permit Valuatit ,n
Park Support Fee
SAC
I.m.o:>
. (11.90
2~. 1'7
,G.O
#
#
Permit Fee
Plan Check Fe<
State Surchargl
Penalty
I Plumbing Pern it Fee
I Mechanical Pe mit Fee
I Sewer & Wate] Permit Fee
I Gas Fireplace] 'ermit Fee
$
$
$
$
$
$
$
$
#
#
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
'/'//&0
0/eYJ/OJ
( I
CJ!izmeSYOUrBuil::;~roved
/ Buil~ Official Date'
Paid
Date
$
$
$
$
$
$
$
$
$ '71), t,S-
ReceiDt No. -{ 'f J< (,pI
By {A(:' -/
U
This is to certify th It 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 thf 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
sm: ADDRESS 4-463 ~/tMnl1}J i-/liVG ;tI6
TYF'E OF WORK ,06(1..1:::...
USE OF BUILDING .e,qS A-/,e
PEFlMIT NO. () / - 06:4--2- 6ATE ISSUED &, . "Z 7- 0 /
.
BUILDER .l'/lkN6 fAtfO PHONE # eof':J. /01/
NOTE: THIS IS NOT A ~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR . pATE
'FeOTING I I I> ~.. ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I
I FiliAL
~
16hCfh~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
Ht../s-3
DATE TIME
SCHEDULED $'d-9-)o A. J.
O/)afi~~ Lv
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I-I-. C/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
KFINAL
o SITE INSPEcTIO
COMMENTS:
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
I/~ --=/da-
~ WORK SATISFACTORY, PROCEED
( 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
'I - .
CALL 447-985 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl