HomeMy WebLinkAboutBldg Permit 01-0862
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT e.-/l () -0/
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LEGAL DESCRIPTION (office use only)
BLOCK ~
1. White File
2. Pink City
J. Yellow Applicant
LOT
ADDITION
~ID
3~ ()3b
OWNER
(Name)
1>0& (. LA 5
~clrEI(
(Phone)
r r). - V Ytl- '3 ~ .L 5
(Address)
J't 60
4,.'Y~D HAl<!"\.
cT
PRfdI1lt-J/l-c
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
o Porch
OAddition
OUtility Connection
OLower Level Finish
o Misc.
ORe-Roofing
ORe-Siding
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
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
exnter upon thy"ropertY. 0 p~rm ~ded inspections.
LV__ ~ 6 -J-- C) /
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
IOOD . 0 0)
$
$
$
$
$
$
$
$
Your Building Permit When Approved
B . (c{-?tJJeJ /
T
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ &4-. 43
I Paid ~~- ~3
Date -- /. -0)
,
I Receipt NO.!!() ;jS 3
By W
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
White - Building
Canary - Engineering
Pink - Planning
The ('f'nler of Ihe- t..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \~~ U kr
APPLICATION RECEIVED '? - yJo -() J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S-IC,O 1Jjrr!~~
Accepted ~ Accepted With Corrections
Denied ~
Reviewed By
Comments:
Date: B -rt/--~
0:1~''d/ ~t~\
V./U i %
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -5/ (pO 4)" ~ L.- c f-
TYPE OF WORK ([be ~ J {2 ~'X-/2 I
USE OF BUILDING SFD
PERMIT NO. OI,Ofl;h2-- DATE ISSUED 8 -/5 - 2r:ao1
BUILDER T~k 1)1 PHONE # ttS-2 -<<{tffJ-'3.]?!s
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'. f-PEc:fOR DATE
I FOOTING ((o(1~r~ &..~_____ It, LW7/~'
PLACE NO CON'~~TE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I 4,
DEPARTMENT OF
BUILDING AND INSPECTION
.
I FINAL
II II I ~ fa I
,
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
/1/1 r;;;rb, po. .""\ ,
ADDRESS
6/~o
uJ~f.-c--- if.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)( -Fb L
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
INAL
~ITE INSPEC ION
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 GASLlNE AIR TST
o
COMMENTS:
!! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:'::O:ECT WO~~ REINS::,::,:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ