HomeMy WebLinkAboutBldg Permit 01-0929
(Please type or print and sign at bottom)
ADDRESS
SC19/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-0 /
I. White File I PERMIT NO
2. Pink City . 0 f
J. Yellow Applicant I j
77 /'1Bc;e Vt&W .!:::>/
.
LEGAL DESCRIPTION (office use only)
LOT J BLOCK I ADDITION
#100E7V ()A-KS
ISI
OWNER
(Name) POl lJ , ~ ~S Tr=:Jl
(Address)5Y!lJ 77.1:18De t/!CP..J .C) T.
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
se:-
(Phone)
(Phone)
,
)(Deck
o Fireplace
DPorch
ORe-Roofing
OAlteration
OAddition
PID 25-"73 - OtJ/-t)
qt{2: <(J./O -2t(l.{7
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 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 ot,a designee may
enter up~ property to (;;;r;/z:..n~. '"
X~..tt,. OJj'" ~'
Signature Contractor's License No. ~
PROJECT COST IV ALUE (excluding land) $
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 Fireplace Permit Fee
/7. f / /
~/7J:tt lites ~~ Building permitren 1jproved
fY;r//I1<l/~ 8/28/0 I
B~i1ding Official ~ I Dale
$
$
$
$
$
$
$
$
'lOc:t). ~
I.sGf.Z.5
,\0.51
3-50
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
lather
I TOTAL DUE
I Paid Z. 3.:>' z.. b
I Date ~- zJ -() I
# $
# $
$
$
# $
# $
$
$
$ "2-:;3. ~
~ ;tJf)~oJi-
Recei .
By .h
/
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 consttuction 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 599/ / / P1/$6,eV/6W Sf 6[;
TYPE OF WORK .D6Clc
USE OF BUILDING ~ IlI/L
PERMIT NO.1 0/- 0 92<11 DATE ISSUED 8- 2-8 - 0/
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
.
FOOTING I f?;t- , I 10/ :J- / D I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~. ~ I()V.~/l,1/ I
/7 ' ,
FINAL I /lJ-, 1/(/17'/(;7 /
Call between 8:00 and 9:00 A.,,( for all Inspections .,
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 10 - ~-I
d.;;
ADDRESS
599 / ~
OWNER
CONTR.
PHONE NO.
,.,kFOOTING D(E
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
i-9~9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ -::u;;-.-.,-, ~ ~ J ~ J-t ~ ~
f1~L ~ ~~ cr1 ~- ~~.(( ~ r~ ,(
f
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'O$p"""''' ~-! OwnerlCont"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNorl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /1-/'-1-/ / ,/36
6)99/ rXL/);U_iw;~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING '@
o FOUNDA TlO
o FRAMING
[:]jtJSYLATIO n ,/
~FI~~L. t/e'cI<-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUR
o SEWER HOO
o PLUMBING
o MECH FI
COMMENTS:
(/1'.BaL
~
~
.1".'...':
, "
(--~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,:::ECTWO~R REINS:~::I:::EFORE COVERING
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl