HomeMy WebLinkAboutBldg Permit 01-1037
570
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO
2. Pink City . ;" \ _ I 0::> 7
3. Yellow Applicant '-' ~
(Please type or print and sign at bottom)
ADDRESS ,.Sre.,/!aIJ9 - fiTJe'l-h'//Y j/;:nO~~/kUJY ,
1L/5/'I .lJk/[b-l-,rd 7~' // L- ,o//,Or' kR~
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK ( ADDITION K /Uo h
,
fI/11
ZONING (office use)
J:(J
PIDaS-3/0-CVq~
~~e~R diI7Q.It)/y j/rJOkLI.k.'{'Jt/ (Phone)(i73:J0292'/~.J>/
(Address) It/SIt; t3!t/~6; /'''/ J%-' //;- t:J-7/77' /~kf'; /t/~5 372
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
(Phone)
o New Construction
~ower Level Finish
o Misc.
ODeck
o Porch
OAddition
ORe-Roofing
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 awar the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope eeded ins. p. ections.;::> _ ~' /7/J 0;-
X ~~~~-- I~/~
Contractor's License No. ate /
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Firepl ermit Fee $
d!r~~-.Awro'OO
fficial ~ Date
.............
OAlteration
#
#
#
#
$
$
$
$
$
$
$ I
$ I. c~ I
$ I 30. 'ZS" I
Receipt No. l.../ 0 s-q Y
BV flU
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.
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
+00<9. -
B1- zs
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
7..00
40 00
Paid I i(). i)-l:1-
Date 4 - ;}..I) -tJ )
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING. AND INSPECTION
SITE ADDRESS 14,-~ I L1. &...-'65IfLD
NATURE OF WORK MNtSl-\ ~ Lrvr...,~
USE OF BUILDING l2eS ^/~z... ) /
PERMIT NO. <9\.... \ n~ 1 DATE ISSUED cr I"U:;:)/a (
CONTRACTOR AN~c../~ v,A/otu/l.DV crSz....."Z-1"Z. L(8bt
NOTE: THIS IS NOT A PEHMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
~UArION (prjgf to. flaCkt~ I I
PLACE NO CONCRE UNTIL ABOVE HAS BEEN SIGNED
ROUGH INS
-~W':R~EP~ __
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
'-"~A~
/J
~ 0
P:7-
/
~ /)
'~
7/d5/aZ/
7/ J q/~ r--
l/~3/~ ;0
7/cJ-- 3/6 v
c
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.~ I I
FINALS
~~
BUILDIf'JG
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
f'W
&rI5~
M/ ~>(~~O<:
~ g:--((: ~
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~-/~
INSPECTION NOTICE SCHEDULED
ADDRESS /t{!/L.( /YW b~d
OWNER CONTR.
PHONE NO. PERMIT NO. / - (cT1 ?
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
=LATIONhL o SEWER HOOKUP o FIREPLACE FINAL
INAL . - o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~
(!) ~ H1r,/
1'v1. S'1"k 4 ~
ckkq/ a;n
~
-.-~
~(It' -
r (I C-
~
/' /' I
/ I 'DCt'
I { /1 ~
\
'--
--
//
------
o ~K SATISFACTORY, PROCEED
i1"""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 & SAFETY!
/l'iSNOTl