HomeMy WebLinkAboutBldg Permit 01-0381
04/30/01 MON 11:08 FAX 6124474245
CITY OF PRIOR LAKE
I4J 002
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I
~~ - f.-t% '
Date Rec'd
1, Whil. File
2. Pink c;~
3. Yellow Appticant
PERMIT NOr:"i3~' I
&~bNING (office use) -
t...1J kEi~' 1< /5JJ
(please tvlle or orint and I, mat hottom)
ADDRESS
j'-fld:>o ~VlII.rJY
f; e Ac (./ -rl If ;L __ /'10 E ~
f,R1~ ~
LEGAL DESCRIP . [ON (office use only)
LOT ~ BLOCK L ADDITION ErfrfulJ1)-
&~~RR a 'fJF~ T -I- i-c:>U ('5 k E 6-A ^/
(Address) :5 fl M IE
BUILDBR.-<"' ()., y; 11 ~ /) II > I 7 L.. -r-P ..>. p P 9 . -1 0., A '7/7
(Name) ~ 0 .J( '? /'1;:? I'(. ('./}J f'/ "/ f ('--. C-/ e) r-... (phone) 5 ~ f ere) v
(ContactName) _.._ -:J'A N :S'J~ N 5F)J (Phone) q~:J 9:Jo 07/7 ,
(Address) 7 A -'11 /'\ I. I I A L L/ Ie p :5 TJ \ ~ :::: -r;;J;;J p.
v c1f C..-' yv I' et::- r-- ":7 T 1- CJO ( s :C. -&UJ. ~ 'I ;;;. &
/ ~AiX~J ~ \
~g~o~D ONowC,,- 0- OP""" /~~~"(;JFO~Y -51' DcO~~~~
~t- io- 0'-""''-'"'' p;""h 0 ......a 0_1ioa l 0"-'" UWity ~,_~ 0 I
~. Mi" c;AfJ~'i!tf. Ie; PRQJBCTCOStJVALUB (_'..0) I '/500.00 ~V
'- .. . . 0 F b-:fifA 6 IF- '-
I hereby cc;rtifl; that I b I Ie furnished informatioI1 on this application which is to the best of my knowledge true and cOtTect. I also cel1i.fy that I am the owner or
authorized agent for thi ~bove-mentionc;d pt_"'...;; and. that all construction will conform to all existing state and. local laws and wil1 proceed in accordance with
submitted plans. I am Nare that the building official can revoke thi$ ~rmit for j\lSt cause. Furthennore. I hereby agree that the city O~ial or a ~esignee may
:=,,..,1h<P'-' ''':;''''''~. 1/ 7 tf 0 . 1-/ /;3 0 ~ 00 (
./" ~ Silll!t1,Wlf / I Contraetor's License No. f DaJt
'--.../' V - - .
I Permit Valuation 1 I Park Support Fee # $
I Permit Fee $ 1L/ 15' I I-SAC # S
I Plan Ch~k Fee $ -Water Meter Size 518"; 1"; $
State Surcharge -. . $ .I . ;;)...~ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
I Plumbing Permit Fel $ Water Tower Fee # $
. Mechanical Pennit"! ~e $ Builder's Deposit $
Sewer & Water Pet1:' it Fee $ Other $
-$ TOiALDUE $ 1~,OO
PID dS- /50- tJO 3-0
.
_ (Phone) _ '7 5":J. L/ 9~ J.b'1Lj
_ _~-/-?o~
Date
'Paid 7/~ ,00
l Date !;- 1-(/1
Receipt No..64 53.)
Bv a--(,:....
U
our Building Permit When AWrovc:d
This is to certify that the :qu~t in the abOve applkiltion and accompanying doCllmenlS ill in ilc;C~ with the City Zoning Ordinance and may proc~d as requested, ThiS document
when sigl'et;! by the CIty lannaT con$titutc. il tempocary CertIficate of Zoning CompUaIlCe and allows cOD.lI\Icdon to eommen"." Before ocCllpancy, il Gertlfleate of O<<upancy must be
iSsIled,
Plaml ns Director
DB~ Spe"ial Conditions, If any
24 hour notite for all inspections (952) 447-9850, fax (952) 447-4245
. ........ i't'-' I h.,i... SCHEDULED Colli /01 /A... l ( ,
,
ADDRESS ILl / & 0 ~ ~ II<..,
OWNER CONTR. o I - , ~ ffl - R.€ - ~
PHONE NO. PERMIT NO. r;)h. ~l ( KJuoA I/'t_
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNbA TION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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,..!"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",PeetO" ~, awne,/Cont,
CALI. 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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