HomeMy WebLinkAboutBldg Permit 01-0801
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sism at 1" ......)
ADDRESS
I. While File
2. Pink City
3. Vellow Applicant
5590 ro~l
(!.() {/,e.::r S ~
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION R~sr tJHKS 1ST /1VDN.
OWNER
(Name)
(Address)
BUILDER
(Name) - 1 K.o~s
(Contact Name) ---r::c...
(Address)
(phone)
Go ~1"L Cc....-~~ t.-A. "\
(...0 t...-z:...
Date Rec' d
-01
ZONING (office use)
,e15[)
PID 25-287- 001-0
(Phone) ~- ~S1-7?ri<'
(Phone) C - CJ 2- ~1 r,.. f?Jt'J.\
'to~o
I ,-:a ~~ So.
.~'-l? t':)
TYPE OF WORK
~( n-..,... -..,~,,-;-n.,..,) : """'J
lDeck
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
o New Construction
o Misc.
OLower Level Finish
PRomCf COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
1 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X .. ~.s:L. _~.
---- -. Signature ~
3l..l "l.J<
Contractor's License No.
4ocO. .
'f '7. Z'$"
te:. 3. 2. \
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
.~p=;t;~
, Date I
'"Z.. --
,
I Paid
I Date
i ftJ'J-, 4~
"'1 - -:1."1.... n j
to v' I
#
#
#
#
') -~(,.-D J
Date
$
$
$
$
$
$
$
$
$ (t.. 2.. +,
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ReceiPt No. 4 () l'i 1
If'~
By
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
-.i
#
PRIOR LAKE
, INSPECTION
RECORD
SITE ADDRESS 5.590 rtJ/Z6J, / ~ c,T S6
TYPE OF WORK OeeK-
USE OF BUILDING /&5S /1/z-
PERMIT NO. 01- 080/ DATE ISSUED / - z& - 0 I
BUILDER /#()nr?S 9oe/~ C'ON.-!>-//L. PHONE # b/Z-t.3'- -%/05
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
FOOTING I ~ I 7/3/)//)1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1~~f' I 6:r I riri()J
.J I .
\ \ ..
, FINAL I ('6i)r~ I q [0 ,f) I
Can between 8:00 and 9:00 A.M. for all inspections .
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,55"QO Ff)r~t d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~ INSULATION 0 SEWER HOOKUP
)(FINAL 0 PLUMBING FINAL
- 0 SITE INSPECTION 0 MECH FINAL
COMMENTS: d.eck.
DATE TIME
t:jdO-01 q~"o
(!) L -J?JOI
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
rRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~RK,~ALL FOR REINSPECTION BEFORE COVERING
InSpecto;: ~ J [~ Owner/Contr:
CALL 447-9850 FOR THE~EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI