HomeMy WebLinkAboutBldg Permit 01-0546
(Please.!Vl!e or Drint and sign at bottom)
ADDRESS
540~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
L White File
2. Pink City
3_ Yellow Applicant
~/I
I PERMIT NOot/- 54&
JiONING (office use)
I€...(
/1M If c..6 fI/ ~ () 0
01<.
tJ6
LOT SBLOCK
LEGAL DESCRIPTION (office use only)
/ ADDITION 77H I11JOtV fI/. .sffoJ186 OIft::.S
OWNER
(Name)
(Address)
PID 2S -.st/.o- nos-n
.. (Phone)
'IIUILDER\
'-ame) .\ol'f\cv-JO~") Cf'\. ~.
Il:ontact Name) \\1:\_L l 1"'1 ,~
_ddress) \ C\ '2. q \X)'v-U""ti..xo b..'k..-
TYPE OF WORK
DMisc.
"'ne)lo\2 -C\.9kr"57 \I
(Phone)
st~ ~ 5S'3.9
I
D New Construction
'1Peck
D Fireplace
DUtility Connection
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
oAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
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 y.vy....~) 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
;ter upon th/r;.} to perform ded inspections. -I -dOl to 8 8CXo fr ~ /r-. J. .
Contractor's License No. ~
Gas Fireplace Permit Fee
n il II
J:t1: iJJ,Y~m B~~g pe:7J::pproved
Building Offi~ '-- ~ Date
I Permit Valuation
[ Permit Fee
I Plan Check Fee
r State Smcharge
I Penalty
[ Plumbing Pern!1it Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I
$
$
$
$
$
$
$
$
~ 000.-
(Q Cf. '2.';
4'5.01
I
Park Support Fee # $
SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
j Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE tRtf..-l::n ~'S- 0 I $ II S. 2-'='
--..,..,..,;--
Paid I/~, _~ I ~~cefff;t? IV
Date (.. -(,,-01
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 an inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 54-()~ A-MI5(hn/O()O.ote-,
TYPE OF WORK ()E(' ~
USE OF BUILDING ~S ,:j/IZ- IJ
PE~MIT NO. 01-- ~4'=' DATE ISSUED '-fIla ~I
BUILDER ~1'-1 e; W tJ IZ.~ c::::- PHONE # q&~ '51. / /
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
I FOOTING I ~ I b f /1/ f) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I ~; I {I? 1;;'7~J
- - - - .. ..--
.....::---:;;. ..... -
I FINAL
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
i
~\
\
DATE
SCHEDULED ~-~ '7 -u J
G~~ bfu j ;err!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SLjuL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULATION ,f\ _ I- 0 SEWER HOOKUP
B-f'INAl J.../!-l_r--... 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
~
r
L (
"'-
."._"--~-_...
i
~""""-~',,"'--"'>+-'-'''''''-''-'<''~'' "p"".,~
TIME
....-
//~ !.'7
1- 5'-1,b
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
:)..
""'1<,,.,.,./<'
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:::O:EcT WOR~ ~OR REINS~:~::/::n::FORE COVERING
CAll 447-98S0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSJliOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!