HomeMy WebLinkAboutBldg Permit 01-0780
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3. y.now Applicant
PERMIT NO. OI-7g0
(Please type or print and si~ at bULLum)
ADDRESS
L( J.<1 J G},RrQ:U Wtkld ~~t/.t
s~.
ZONING (office use)
(( / Sf)
LEGAL DESCRIPTION (office use only) ~ I
LOT BLOCK ADDITION~ "5S--
(v,,~
~h/A/;;~ ('}Ai~
BUILDER ,AI. / ~ I
(Name) r/IOAJ ~;de,KJ
(Contact Name) :/t;/", L. AloA!'
/01.23'/ W~~ t#L/~~
OWNER
(Name)
~(/AJJ
(Address)
4'c:XJ?
(Address)
TYPE OF WORK
o Misc.
PID ::1~- q?~- t'31-q
(Phone)
5~.
(Phone)
(Phone) 9('~-- Vo/' 7" ~c:Jojr
o New Construction
./
~-Roofing
ORe-Siding
DDeck
o Porch
OAddition
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 alan I a.m 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 prfp_eftJlh per~ ne~?,yroons. '. J
X ,~ ^. ~bf- ~OO to Lfj"q7 7/&.#d /
I Signarq,k Contractor's License No. / Date
I Permit Valtation I Park Support Fee # $
Permit Fee $ -(1, /~ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
$ l, () 5 Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ I Water Tower Fee # $
$ I Builder's Deposit $
$ I Other $
$ I TOTAL DUE $ ?~ rob
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I Paid 1'1 7b ,..ou
I Date ""1-c::1.4- CJI
ReceitltNo.LfO /73
By fjr ~
Building Official
Date
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
ADDRESS
L/d-OO
DATE TIME
SCHEDULED.. 7::3/-() [ It.:.r
Q~,(P~
d~~. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
---
OWNER
PHONE NO.
PERMIT NO.
!-7f'O
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION-=:::> p
-e""'FINAL !'- ()d
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
f~
,.
~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
- J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl