HomeMy WebLinkAboutBldg Permit 01-0185
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3-20-0/
ADDRESS
/~ 447 CVL-Um /f1/6 s ~
Date Rec' d
1. White File
2 Pink City
3 Yellow Applicant
O.O/-O/Bb]
ZONING (office use)
I? 2.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
WNE~
(Name) ~~" ~""J
(Address) b
PID '2-5- qoZ- 6a4--()
(Phone)
lJ Cj 7- C:/(j ~
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
e-Siding
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 pro 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 bui . g . revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u perty to perform nee d i
OLower Level Finish
o Fireplace
o Misc.
~
Permit Fee $ '74-. 7S-
Plan Check Fee $ -
State Surcharge $ /. 2- >"
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
~. Z 0, 0/
Date
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
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 $ 7&:'.() '0
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/b447 TI.tJ~ !tve
_I~~\ ^. TIME
~ l+-"t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
It: 0 )HSULA TION 0 SEWER HOOKUP
~ ~~~AL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ r1lN.A
I
OI-OI{3~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(Z-bSe ~~ )~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: WJ... c...F ../ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl