HomeMy WebLinkAboutBldg Permit 01-0731
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or print and sign at bottom)
ADDRESS q
S .40
tJ ,t::,/O L.,5
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK Z--ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
K.Jz.€VJ 6J(
TYPE OF WORK
o New Construction
OLower Level Finish
L White File
2. Pink City
3 . Yellow Applicant
I:J~
(Phone)
(Phone)
(Phone)
ODeck
OPorch
~e-ROOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
,OMisc.
Date Rec'd
,e/J.L)
PID Z-~- 3/(, -oz.:z...-t2-
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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;'" ~ p,no ,,"d ""p,cti= ao / /), -) /75 7 //7 /0 (
. Contractor's License No. ( ~
-=--- --...:::::.--
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Z-tr01J~(1)
$ 14. 7~
$
$ I. '2- )-
$
$
$
$
$
i2"JJ"a~ y~ BWiling p","" Wb. en Approved
~ '.O,.oL
Building Official Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I
Paid 7(p. () ()
Date -1. 11.. ~ I
, ., .
# $
# $
$
$
# $
# $
$
$
$
~/ll
Rece' .
. By
I"
I
I
1
7(, . 0 0
4'0 13t/f
,
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 N"'TICE
ADDRESS
5CJ L./ (J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(i/~
7-U-
DATE TIME
~ A'((
F:f-,
&-/ _ 01- 73/
v '
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)t1JWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ CALL FOR REINSPECTlON BEFORE COVERING
Inspector: '~ r Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI