HomeMy WebLinkAboutBldg Permit 01-0993
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White
2 Pink
3 Yellow
hie
City
Applicant
I PERMIT NO. C) 1-0 '1'1'j
(Please.!VD~ or mint and sign at bottom)
ADDRESS
Sl:,o.5"""
ct;;DAR.. Woo/J
TRA II-
HE
I I
ZONING (office use)
pun
LEGAL DESCRIPTION (office use only)
LOT (I BLOCK L/ ADDITION rf..ibnd fJ~>
PID ;;15- dl'-l- () 3t-o
OWNER
(Name) (.;AR V
1--3 H ~L/3 Y
N 6L .c:.orV
(Phone) " q S' .2 - I..f <./S' -703 '7
,
(Address) 5~os' c.ElJARWooD TRAIL. Ale
BUILDER
(Nawp)
(Phone)
(Address)
TYPE OF WORK
o New Construction
~Deck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
DAlteration
OUtility Connection
o Misc.
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. 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
enterupo~le 'Pe.,..,perfo~~ctions. . Q'
X~' ~_ / /~~---.,AJ.II.. ~ f-/tJ -6{
-- :;;;;> - "Signature '//1/ . Contractor's License No. Date
Permit Fee $ 2,~.oo I Park Support Fee # $
Plan Check Fee $ &1 . ZC{' I SAC # $
State Surcharge $ '-15"01 I Water Meter Size 5/8"; 1". $
,
Penalty $ (.00 I Pressure Reducer $
Plumbing Permit Fee $ I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace Permit Fee $ I Other $
r:tTji;:;?--q~,~~ I TOTAL DUE $ IJ /:;> d..k
Paid [lE,cx.p I Receipt No.{fD5 (of
But .ng Ofilial Date Date "Ot-II-I'll I By If''
, ,
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
SITE ADDRESS 5bB~<t2BR
TYPE OF WORK TJeJ(
USE OF BUILDING :; r:
PERMIT NO. ()/~ 0413 DATE ISSUED q- 1/-0/
BUILDER G{m~1-<'he/~ 11/f')c,otJ PHONE # 1/'15- '7031
NOTE: THIS IS OT A RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
IN~CTOR DATE
I FOOTING I ~ If//24r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL ~ I /!;/f~!
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
LJAIC IIMt:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. ")(.. (') 5
SCHEDULED 1(/1 ~I /(J! dO
('~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~(- 9'73
o FOOTING
o FOUNDATION
o FRAMING W
o INSULATION
Jlil FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: &~ Jl
(l'/L M,
t
JJ N~ ~
!!WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o 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 & SAFETY!
INSNOTl