HomeMy WebLinkAboutBldg Permit 01-0930
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO
2. Pink City . AV-
3. Ye!low Applicant { /;
(Please type or print and sign at bottom)
ADDRESS
I)9ql
T/M.BER V I E'LlJ
cs.,
sE..
LEGAL DESCRIPTION (office use only)
"\..,.
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DWIJ LS
(Address) 519/
H€bW5 raJ
71/1 B <<:111 W.J s r
(Phone) qi(";;'" ~tf() -;;tf'/7
s- e:-,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction o Deck o Porch ORe-Roofing
~ ~~16 OLower Level Finish 0 Fireplace DAddition OAlteration
06 Misc. V-I ,~c..tAJ (N Lou3(l..J..~~. PROJECTCOST/VALUE (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
submi 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
exnter 0 the property to r:.T ~.e eadeead 1 i~nsppeectctions.
~ :2?~ /)./
Signature Contractor's License No. ~te
ORe-Siding
OUtility Connection
I Permit Valuation Z. SC:::<O,- I Park Support Fee # $
I Permit Fee $ 1 4.1- C; I SAC # $
I Plan Check Fee $ l."Z.-";- I Water Meter Size 5/8"; 1"; $
I State Surcharge $ Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Glij~ $ I TOTAL DUE $ (<0. -
"'" l r
. ' Yom "wiling Pe;;!;;'" I Paid 'Jy.dle ~1 ~
I Date $f!). 7/9.r (17 By
, ~
Building Official { Date'
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
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Set t~p or block' .tevation 110
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Lot. 1. 'loc~ I, IIlDOC: ~ 1ST A::lOITIOIl arvu.m, Scott County. Mlnn..ot..
Al.o .bowi~ the location ot the pr~d hou.. a. .ta~.d thl. 11th day o'
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 59t? I /7 f"?/16ICtJte:zJ
TYPE OF WORK ~AS' tv/NOO/~
USE OF BUILDING ,ee #/ e
PERMIT NO. 0/- OCf30 ; DATE ISSUED ;:::3. 2f3 .01
BUILDER )1r3Oe:Nsr6lV PHONE # 450- zAefL
. ,
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 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I I
J FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
t \ e' 0 2. I D : 00
ADDRESS 6qq) ~",^bMJ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
ol-ocr"?o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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 GASLINE AIR TST
~WI'~
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRE~CT 10 NO PROCEED
o CORR T W ALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CALL 447~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ