HomeMy WebLinkAboutBldg Permit 01-0909
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
. ADDRESS 3o~1 L.A-t:e HAVeN C!-7r
LEGAL DESCRIPTION (office use only)
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
8'22-0/
I PERMIT NO. 0/-90 9
ZONING (office use)
IC/.sn
LOT~BLOCK / ADDITION AllJe:nIW'ooO 0/11:::[' r.J/~S ...:2.@pID 2.5-37/- 00'8-0
OWNER
(Name)
L,AU-Y .~o~
.:5i41"V\ E: A-$ Il-6oUG
(Address)
"-
(Phone) (95'2-) Z 2." - a("..,c:b....
BUILDER
(Name)~Uu...~4 ~UJlL)G/~ ~ ~.
r
(Contact Name) /7'JA--r-r ~S:l-<I ~/tJ
(Address) 84-24 CA-t..12(~e- tit (...l,... t..O J
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone) (~/Z) '7/9- 5'Zd.5J-
(Phone)
:?l4-vA66/ HtJ %~18
~Deck
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
PROJECTCOST/VALUE (excluding land) $ 7800 ~
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 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 Z~S::.~
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Firepla~ Permit Fee
IA/y/ -.
TOO~~' nB n
, Building Official
$
$
$
$
$
$
$
$
~(~-
83.1.,
S-4.11
1.,"0
20'2-0~L1--Z
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/~~ . ~fR
~_ ,/7 /' 11 /
.....
B/ZZ/O/
. Date
# $
# $
$
$
# $
# $
$
$
$ 1~9.~
~r3YO
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
Buil~itWhrpPted
!3h'-m
) pate I
---
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.'--1
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 30.37 LflK./3 J-P:/V6N cr
TYPE OF WORK J)WK-
USE OF BUILDING IZF~ ,q/~
PERMIT N(\). (] 1- 0 qO q I DATE ISSUED 13 - 2 2 - 0/
BUILDER J3UUOOcj Bi___.oes . PHONE # 7/9 - 52/4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR l~iTE
I FOOTING I ~ \\1LW4 I~. I
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN 51 NED
I I
I FINAL I /6 ~~ I m \~:o\
Call between 8:00 and 9:00 A.M. for all insPections I ~
FOR ALL INSPECTIONS (952) 447-9850
.
DATE TIME
CITY OF PRIOR LAKE I""
INSPECTION NOTICE SCHEDULED tJ -If -I I~
. ft'j.
8D37- &h ~(f-r-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-907
o FOOTING
o FOUNDATION
o FRAMING
~ OINSULAT~ V
t"'(~ FINAL Veer<-
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ,
I+ 'f'" hkk +tiJu lad-ul~-H.tp
k A-- f.G.?t") }'O ts.-f' fS. whe.rs. raJ t~ ~ ;(:> C9.j-S .(;.;~
pV\A rd~\f, wc-'U 1et- v1-t~ ~~
I J.o_
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
o CORRECT WORK, fALL FOR REINSPECT ION BEFORE COVERING
Inspector: ~ 1 {J.).JJ/ Owner/Contr:
CALL 447-9850-FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI