HomeMy WebLinkAboutBldg Permit 01-1098
(Please type or print and sign at bottom)
. ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
tJO-0977
V I ~TO I?--I It
I. White File
2. Pink City
3. Yellow Applicant
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56
LEGAL DESCRJ..t'TlON (office use only)
LOT OBLOCK 3 ADDITION ~,eo//II/J'- ,e,;06i6 SW
OWNER
(Name)
t'RtJeK.- nrlP6.5
SrJ/"1 &-
(Phone) ~- 8B8 -- 7795
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
o New Construction
~eck
o Fireplace
OAlteration
Date Rec' d
10'18
PID 25-335-025-0
ORe-Siding
OUtiIity 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 aware that 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,.l?roperty t9 p.o,;vuu needed inspections.
X rY~h w JUr.A1
. -.1
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/7
This
o Porch
ORe-Roofing
#
#
/0 iIiIiW
$
$
$
$
$
$
$
$
$ 44,30
Rec1iP A ~ 9,1 fe,54-
By
--
OLower Level Finish
OAddition
PROJECT COST/VALUE (excluding land) $
Contractor's License No.
I '
$
$
$
$
$
$
$
$
LOO.cv
- ().. (p~ C) ~
/7 _ 2')"
1.l)0
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
#
#
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
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I f
B-'i)~~i:,vod
Date I
I Paid
I Date
44-.30
J () -4- -()J
I '
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
'. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /{; 3 0~ VI: ,1CJL/A ~~ lie S? b
TYPE OF WORK r~~ I
USE OF BUILDING Rt.-~' /1/;2 I I
PERMIT NO. 0/ - 098 I DATE ISSUED /CJ/4/CJ I
BUILDER Ct-f uC-/c. /l!/{LJC:C::; PHONE # I 1~'"'2-$BZ5 -77crs-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~PECTOR DATE
FOOTING I 'f!~ I r 0 . (7 -<:) (
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~~ I I
...
FINAL IM/ I /1-rr--rJ2-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
(j-IS- -J-L
Ie Y;~ l/ fG-t-v-14 (>>'1.;<-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION (0'
(t. Ii! FINAL
o SITE INSPECTION . ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/'
(
I /'1 e. -('
lV-
DATE TIME
0(-1 {]? g-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
('r-t
It ',.(
rI WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '{"t'f 1\- t b '-' O~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!