HomeMy WebLinkAboutBldg Permit 01-0797
(Please type or print and sign at bottom)
ADDRESS
3375
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
F%?-Cf110;VI
1. White File
2. Pink City
3. Yellow Applicant
el eu.-6
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK Z-ADDITION /5L/f71/0 VIElA/ ~
OWNER
(Name)
(Address)
BUILDER L
(Name) e:~ f'r C,.l'91 <\..\
~, ,
(Contact Name) \ \ ~ ,-e~ ~r
/
(Address) 120...~ 3 Lf')U' 'OC\ (0. 'C\~
TYPE OF WORK
o Misc.
Se(~\L~ .
All
o New Construction
OLower Level Finish
(Phone)
Date Rec' d
7-2& -0 I
PERMIT NO. O/-tJ711I
ZONING (office use)
,eIS 0
PID 25- ZeH ,033 - 0
(Phone)
(Phone)
(' _\"0 vv{J \ 1 (\ VY\ '^'
NO
ODeck
OPorch
OAddition
)1fie-ROOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
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
enter upon the prope~to perform needed inspections.
~ ,,~ 202~t13IS '7- Zb""OJ
- / Signature Contractor's License No. Date
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
?-., .su {) . ro
$ 7i/.. 7~
$
$ /.s&'
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
P:l#-. 7. U~(JJ
Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid 7&.0-0
I Date' '7- ~-~/
# $
# $
$
$
# $
# $
$
$
$ '7t? ' C/O
ReceJiN 9. qcJ/gq
~~ ,
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 consttuction 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
jhk.s--
/ /
?573~ he p?,-"..z -I C;'r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,.!rl=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
~/ - 77'7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
.-1 /} /'? ;I /
$'1"00 r ~e?~/O /e r-<-
,
~ ---
.~ -- -- ~~ .")"
~ '" ''''''
./ ,
~/€- /
'"
C~.\e
~ORK SATISFA
o CORRECT ACTION AND PROCEED
o CORRECT WO~~ ~ALL j!7R REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
- v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl