HomeMy WebLinkAboutBldg Permit 01-0972
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
C/-5-0j
~. ~i~~e ~:~ I PERMIT NO. J( 1- 0 tJ."I4 I
3. Yellow Applicant V 7 I ~
(Please type or print and silm at bottom)
ADDRESS
.:s-420 /J??t:~8WCJOO OK-.
Nt;;:
ZONING (office use)
.el
LEGAL DESCR.1.t'TlON (office use only)
LOT 7 BLOCK / ADDITION 7 VI hPPA.! TV IV fhtJ~ OI'r,LJ'
PIDZ5 -3t/() - t) 67- i)
OWNER
(Name)
(Phone)
(Address)
J
BUILDEWIV.v'~ 0 {'o L
(Name) 7 - ...,Je"-1" e Pf Z.
(Contact Name) ~"., e
(Address) S9-2t:J AMb/~lV(uJ~ I)".. ME. ?;I";NrL~ke
(Phone)
(Phone)
Cf6"2 - Lf03 -qs-/ 2
OLower Level Finish
'DeCk
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
TYPE OF WORK
o New Construction
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, 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
;"'UPO(}7?:-iJ.j:,,"'P',,"m 0//1; J 0/
/".r i- s_ .Y Coo."""', Li= No. Om
I PermIt Valuation !.~ I Park Support Fee # $
I PermitFee $ 83. 2~ I SAC # $
I Plan Check Fee $ S,-/. ( t Water Meter Size 5/8"; 1"; $
I State Surcharge $ I . ~-o Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ lather $
$ I TOTAL DUE $ /.38 .8b
I Gas Fi~ P~it Fee
t! A/
fiY B~
Bliiiding
V
es Your Building Permit When Approved
'1-fre- 2e.~/
I Paid
I Date
/3B-13&
q- /;,. tJl
, .
Receii-1Jt: ?-OS4-7
By J tA---
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
RECORD
SITE ADDRESS sc.f:2Q Bm hJ.f:> W{j~ Dr-.
TYPE OF WORK ~L I' ' X I CJ f
USE OF BUILDING _~Fn -
PERMIT NO. Of- 0972- DATE ISSUED 9...C,..4Jo/
BUILDER f-L'_A_? PHONE # '7S"2-Q0"5-1S-12-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
!'fPECTOR DATE
FOOTING I {~4 I lol/~ Ibl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINAL ~-;f ~
l./
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED qt711 ff2.---
ADDRESS _.4120 ,~ ~l
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDA nON
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
4
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~"'.!!E AIR TST
.x[ -b'UJ/
~1A0"
COMMENTS:
C'j}/viQ - ~~-
,t(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 & SAFETYl
INSNOTl