HomeMy WebLinkAboutBldg Permit 01-0860
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or orint and sign at bottom)
ADDRESS
"3\(0\
S\..\A~'( CO\J~ QO\-'.1\
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO. 0 1-8 G 0
ZONING (office use)
--12/~D
LEGAL DESCRIPTION (office use only)
LOT/1BLOCK / ADDITION~tllt~./A%(Jdii(~ ~-~~ID::JG"~ ~7/-1J17-0
OWNER 1/ _ '" "
(Name) ~L +- Dt::N\S".E
(Address) '"3 \ (0 \ St-\AD't
.....
\ ~eyYW" ~ L
COV<= ~()\ A_)"T
BUILDER
(Name)
(Contact Name)
(Address)
VV\A^-tL~ tSeas. '
1~\A..J VV\ANU=~
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECTCOST/VALUE (exc1udingland) $
(Phone) <452-440 -34b"
(Phone)
(Phone)
~eck
o Porch
ORe-Roofing
OAlteration
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 ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:ter7~~dins~~:;s.
Signature Contractor's License No. Date
....---
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$,
3000. -
8~lS"
$4, "
I. 5"(:)
o Fireplace
OAddition
#
#
#
#
$
$
$
$
$
$
$
$
$
/38,,6~
. g Permit Wh,APjVed
~;;6jo/
Date
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/3B.~0
~-/O.OI
R=iptL~~
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
:') ~' '
..," ,,"-~--~-,'-'~"-"-'~~.__." ,,-- ,'-,___.__._"'_____"_~_._"__.... '_'~' .. -_...0 _ ...___./___._..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3' Co \ S~A/)c., ~,,~ R,^-~
I
TYPE OF WORK "DEc-~
USE OF BUILDING R.~ S / A 12- . ,
PERMIT NO. 01-3(00 DATE ISSUED 5/r%l
BUILDER \~tU, I'Z-~IV\(Y\~L- PHONE # 440 -340~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. INSPECTOR . r tDATE
~ FOOTING I ~ ~~ I BlI~DI'
PLACE NO CONCRETE UNTIL ABOvtE HAS BEEN'SIGNED
~ I I
~ FINAL
~ \
I 'it-< - I (:t. r~ tll.
Call between 8:00 and 9:00 A.M. for al inspections f
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'1-IJ"o I
Z .' IF,)
ADDRESS
3/& I 5H7tOV ~t/6 PI
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- YCo 0
o FOOTING
o FOUNDATION
o FRAMING
f\v-- 0 INSULATION
n ~INAL
. 0 SITE INSPECTION
COMM~NTS\
(:e~
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
l:EWER HOOKUP 0 FIREPLACE FINAL
PLUMBING FINAL 0 GASLlNE AIR TST
MECH FINAL 0 /
1'1~ CJ tlfl N~ (
I
/
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fr',.(9~t1> '-t-~ F
if
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iF'
It
t
XWORK SAllSFLRV, PROCEED
o CORRECT ACTlqN AND PROCEED
o CORRECT WORK\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: %-\ M'f Owner/Contr:
CALL 447.9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOT/