HomeMy WebLinkAboutBldg Permit 01-0560
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
i Et ~;';~, I PERMIT NO. O/-osrc 0 I
q'lease ~ or mint and sign at bottom)
ADDRESS ZONING (officellS<)
15204 OAKR1DGE CIRCLE , PRIOR LAKE, MINNESOTA 55372
LEGAL DESCRlPTION (office use only)
LOT 10BLOCK 1 ADDITION OAK RIDGE COURT 1ST ADD' N
OWNER
(Name) Shari1yn Brandsev
(Address)
same
BUILDER
(Name) Shari1vn Brandsev
(Contact Name)
(Address)
TYPE OF WORK
DMisc.
o New Construction
DLower Level Finish
PID
(phone) 957-447-5505
(Phone)
(phone)
!9Deck
oPorch
ORe-Roofing
o Fireplace
oAddition
DAlteration
sam~
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 y....r'.....} 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 thep;;Zt~~::~ 06 -03 -01
~ Si.nature - Contractor's License No. Date
. gOfficial
PROJECT COST IV ALUE (exduding land) $
$
$
II ?OO.t') v'
41. 'iD
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
i Date
7.,. (, ~
IA .r, 'Of
1$
1$
1$
1$
1$
IS
I $
IS
1$ '79. 6f!J
I Receipt~a" ...3<?~~
Bv ////#J7.L--- - I
r'"
#
#
#
#
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 complimce and allows construction 10 commence. Bt:fore occupancy. a Certificate of Occupancy must be
issued.
I Permit Valuation I Z I j.. I z.'
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & WaterPennit Fee
I Gas Fireplace Permit Fee
A
mes Your Building Permit When Approved
h-fp.2e\0(
,
Planning Director
1$
I $
I $
I $
1$
I $
7,. I~
- ,
.f,S
Date
Date Special Conditions, if any
24 hour notice for.1I inspections (952) 447-9850, fax (952) 447-4245
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS';;{ () tJ r".b k. I/'die Cr;
TYPE OF WORK ~cK I '2..' X I 7 I ~tPlo..<::~
USE OF BUILDING S F="'D
PERMIT NO. O( -09J; 0 DATE ISSUED ~ -~- 2LJO/
BUILDER Rt-o.~~ CfC/7-S'SoS
w
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I ';' I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ ~ I e:J.:r I Ct/;;;-.a-//J/ I
J I '
, FINAL I m-' 14-1..?-~/,p / I
Call between 8:00 and 9:00 A.M. for all inspection's I
FOR ALL INSPECTIONS 447-9850
_~.__________.~__._,~_~_..e_ _'~__"___'._.""'.'_'_.
~_ -:35-0/ It-T
/ '7 d-OL/- (fJa/(;?/clF
/-~bO
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION I'\"'~ //
-El1'INAL i:/C-L-A '--
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
""
-(ri~ ~-~ -~>
)
)!WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTlON BEFORE COVERING
Inspector: - &. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI