HomeMy WebLinkAboutBldg Permit 01-0802
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERll~lCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{- 27-0/
I. White File I PERMIT NO
2. Pink City . t!) f _ a..... "Z.
3. Vellow Applicant OV
(Please type or print and silm at bottom)
. ADDRESS ZONING (office use)
I S' \ 14 \..,000 p DuG k:. \t- c.l '- tv vV
LEGAL DESCRL.t' lION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
lv\ J\. T t l-t-E;; witH A- L,;Z..uC-v H "\
I ~ I,l..( W ~,..{) Dl.tc,)::. T ra ('- Nw
(phone) q~;) -YYO-'1/LS'"
(Address)
BUILDER
(Name) 6&Lt=
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORK
o New Construction
/'
~ck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOSTIVALUE (excluding land) $ g,o-oo -- ke...-...sV'k:..-l.s
o Misc.
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 proceed in accordance with
submitted ans. 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
;ter u e pro to pe~Sol.e e~~d" ~specti7J.. ' AI A 7,/ J. 7 IteO (
Si~'~ Contractor's License No. ii~
Permit Valuation (~. -- Park Support Fee # $
Permit Fee $ l'2.~. 1.~ SAC # $
Plan Check Fee $ 8\.4' Water Meter Size 5/8"; I"; $
State Surcharge $ ~.- Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ lather $
Gas Fireplace Permit Fee $ I TOTAL DUE $ ~.,,'
I
om,BmldmgPXC I Paid ,,?Oq (p~ 7 40/913
I Date '?-~/ By A
, Date
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 te....,u...ry 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'S' .., 4 .WOoo U c..~ \ fCL
TYPE OF WORK D~K I
USE OF BUILDING ~GS Air<- J I
PERMIT NO. 0 \ ... 8~"Z.- DATE ISSUED 1 1"2.'1. /0'
BUILDER ~ft~ A, l't~ucc..H; 4-~-4,Z.S; .
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 M Y;z~.~1 i
PLACE NO CONCRETE UN~IL ApOVE HAS B~EN .SIFNED
~ I ~~i I Q.J3\C\
I FINAL I ~ ~0A4f i ~ . /0- d-O- 0)
Call between 8:00 and 9:00 A.M. for hlllnspectlons
FOR ALL INSPECTIONS 447-9850
.
'" t'
, t
ADDRESS
)5 77/7
DATE TIME
SCHEDULED 10-;).3 q ~
!..tJ(!)cjd D W_!C
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ _ ~Od--
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIOtJlr-l 0 /' /- 0 SEWER HOOKUP
!5IZFINAL U \....-^--'''--o PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
<C 11 /I
..-:"JU~
1111~P1'~
~.....,...
",..,.. ;ff;:>>'"
"',-",t:
rORK SATISFACTORY, PROCEED
o CORRECT ACTION rND PROCEED
o CORREC~'C 'LL FOR REINSPECTION BEFORE COVERING
Inspector: ' :- '\ '- \.~ Owner/Contr:
CALL 447~~60 FOR T~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI