HomeMy WebLinkAboutBldg Permit 05-0227
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
3.;;-70b
I PERMIT NO. 05. ozz. 71
(Please type or print and si~ at bottom)
3;9;S 1J:r !;tOld fh ~ uJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
A-1~4n f) IY; bd/
I
~9~ ~gL/Ju,/- /J; );UJ
_ ~ _ r
(Phone)
(Address)
BUILDE~ . \ C / t.. /J
(Name) /" /IN. r'A+- ~L-<--
(Contact Na~e) J) ~ 'i-A.u f
(Address) JZp?lj ~/~/J1 JJ .,)u jJ~,8/V dt? ~
f'~J--. --j .
TYPE OF WORK
PID
ZONING (office use)
9S-;2 -~t./~.. r/m
(Phone) 7~ -39 /- S d / c/
.
ORe-Roofing )(Re-Siding
OAlteration OUtiIity Connection
PROJECT COST/VALUE (exc1udingland) $ ~ f. dbO. tfi)
,
(Phone)
Oss~
o New Construction
ODeck
OPorch
OLower Level Finish
o Fireplace
OAddition
o Misc.
>n~
rJ 161
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 awar at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upon the pro erty to ro need f;;~S. /3 {' ~ dt 77 3 h~ J
/' Signature Contractor's License No. I ,.Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
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
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
I Paid
I Date
'71,;. 0 0
.3 39 ()!J
I
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$'7~_,.o
Receipt No~ ~ ?1!Jfj6 f3
By F---
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
DATE TIME
--f~~r
2/:7? ~~r~v-/ Cr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
/
/1/ t5? iA./
,a.;/
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAY
.;~J~ < c/ e.,
os---2.2'7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
V;--...w- 6' $
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~RKSATISFA~ROCEED ~
~~~RRECT ACTION AND PROCEED
EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
;-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI