HomeMy WebLinkAboutBldg Permit 01-0781
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I' z,~-O/
(Please type or print and siRD at b...,._)
ADDRESS
/ +1-'7 h f)tJ(/6
c:r
LEGAL DESCRL.t' lION (office use only)
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PERMIT N~''j-07~ /
ZONING (office use)
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I. White File
2. Pink City
3. Vellow Applicant
LOT z.. BLOCK z.. ADDITION J:::.NOI5 H/l,L- 6711
OWNER
(Name)
(Address)
BUILDER
(Name) /JL:r6Ji Bu.:rL-O~R.S
(Contact Name) ..:,7t:PF- ~
(Address) 1'37;J-;J Jhl'yL~ llz.
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
PID 2.5-3(,8-030"0
(Phone) j~2~ ~~C.I ~ 5-6 5~
~~ ~/;> - 8/:J. - c:!'loo
D;AJ C ~
f3u-/l-A/ .rV'~c-
.
~eck
o Fireplace
o Porch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
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...uu.;.~d 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
:teruponthep~?7Z~~ ~I JOl77 7/Z"l/.f
'" Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
2., DOO. 00
$ (,9. zS
$ 45. D I
$ t. DO
$
$
$
$
$
Building Official
- our Building Permit 1en Arved
7/-z-4-/vl
. Date I
I Park Support Fee
I SAC
I WaterMeter SizeS/S"j I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid //..5. 2.-Gr
I Date 7'2-~'O I
#
#
#
#
$
$
$
$
$
$
$
$
$ 1/5.2. {p
I R.ece~ffJJ' . 4-a 1115'
I By rr '-'
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 /44-7C7 Do V6 6/ ~
TYPE OF WORK PI5r!L-
USE OF BUILDING /26S k/K:.-
PERMIT NO. 0/- 018/ DATE ISSUED /.2-4-,0 1
BUILDER /9LIC3;N Sc/ILOt;Je.S PHONE # (P/2,. . 8/2.. . '0100
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOO~~~CE NO CONCRETE UN;IL ~jg;O:AS B~EN~~:fjD
I I I
DEPARTMENT OF
BUILDING AND INSPECTION
, FINAL
...,
Ln-
I 111,;2.6/6/
/
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
"
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED/I--~-Ol :9 ~'t:J'1)
I L/t/7/? f)/J {)cdi
ADDRESS
OWNER
CONTR.
PHONE NO.
D FOOTING y(R)
D FOUNDATION
D FRAMING
~NSULA~I
IHAL
ITE IN CTION
PERMIT NO.
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D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
D EXIGRADIFILLING
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
(~
//--...
?cQWORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector: ....~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
"
INSNOTl