HomeMy WebLinkAboutBldg Permit 01-0761
(Please type or print and silm at bottom)
I ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7- 2(3-01
~. ';i~~ ~~:y I PERMIT NO. 01- 0 7'- /
3. Yellow Applicant W
S7Cf/ MeD/;v'At- /2-IOt.;6
I/~/t.-
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 2-ADDITION MI2O/NA L, el066 /~r
OWNER
(Name)
~(,~\/
t:3I26NT A-N0612..s0N
.5.4/16
(Phone) (,12.-- 37(, - 7"00
&12,- 32.5- 186,4--
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 property to p rm ne ded inspections.
X ~DJ.
Permit :aluation G
(Address)
BUILDER
(Name) SAME.:
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone)
(Phone)
o New Construction
~e.ROOfing
DAlteration
DDeck
o Porch
DLower Level Finish
o Fireplace
DAddition
PROJECTCOST/VALUE (excluding land) $
Contractor's License No.
2,500.00
$ 7L/.7S
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter
Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ?f#.01)
I Date -;.'20-01
/.2.5
This Application Becomes Your Building Permit When Approved
/mJ- 7.Z3.01
Building Official Date
ZONING (office use)
PUD
PID US-Z'19- 02-/-0
,
~e-Siding
DUtility Connection
#
'1-2~-ol
COa~
$
$
$
$
$
$
$
$
$ 7~. 00
#
#
#
(JJ
ReC1iP o.
By /
f .
1ffJ1.s:-7
I
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
579/
/o!z!{)I
~~~
1/ : O()
SCHEDULED
.
ADDRESS
1<<-(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CONTR. -.,..,1_
~- O/-rl:;12.
PERMIT NO. ~ ~ - ot -7t,(
J' ,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
OWNER
PHONE NO.
COMMENTS:
() / - iCe z...
D/-?iP/
&f WORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~\
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI