HomeMy WebLinkAboutBldg Permit 01-0835
(Please type or print and sign at bottom)
ADDRESS
/v38/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
VI c;fo(G/n
Date Rec' d
8- 3 ~CJ/
I. White File I PERMIT NO 51
2. Pink City . A /-0 a. ~
3. Yellow Applicant U r /-J
8Ul31lb
ZONING (office use)
PUO
LEGAL DESCRLt'uON (office use only)
LOT ( BLOCK 4- ADDITION fH1eO//JI1f-, etlJ66 S7H
- -
(\>WNEY
~me)
f)L J 11,'/1
~J
5m'16
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
p
.--.
Ud"i /
o New Construction
OLower Level Finish
PID 25-.~~S-030-0
(Phone) ~5::J. -...<,;)1:, ..sJ/S-
(Phone)
(Phone)
- .
1Peck
o Fireplace
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) S
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 P it Fee
/
This Applic '0
$
$
$
$
$
$
$
$
3900
83. z.:;
5" 4--1 \
t-~
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
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
/.:3 B. ~
f1I!J-:r~o/
Re7ei . . (./03>0
By -
,
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 ,.163 B / VI e;;m,e,,J7 eu/tA/b
TYPE OF WORK /J~
USE OF BUILDING ;zes n-//Z-
PERMIT NO. 6/-663c) DATE ISSUED fJ-3-0/
BUILDER .~ A/ PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING I ~CTOR 18/ t,/u;ATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
I I
~ FINAL
~. I ~/:;>r/~1
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED tj ~ '1- I /l- T
0'WruCc.-~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~ 38' /
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ MECH RI
o FRAMING WATER HOOKUP
o INSULA TIONO SEWER HOOKUP
'FINAL 0 PLUMBING FINAL
,.g SITE INSPECTION 0 MECH FINAL
COMMENTS:
--~.~
" /1 tJ 77..- - 0 _ .
(' ~ ~
""',
~.
/ - f!-3~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)
ll1 WORK SATISFACTORY, PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~l Owner/Contr:
'/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl