HomeMy WebLinkAboutBldg Permit 01-0955
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L White File I PERMIT NO %
2. Pink City 001- Oq..
J . Yellow Applicant
(Please type or print and sign at bum",,)
ADDRESS l?2
,J,:...... -~1 r, . .; A J /7/J~'; \
~j6 1 J ~m- ur, c::
/2/7~
ZONING (office use)
~l S ()
LEGAL DESCRIPTION (office use only)
LOT {p BLOCK I ADDITION -:r1J'214t IOf.l1Lo/ 157' PIDdf - :J..81- {)(), -()
OWNER <J/. It ;1_ I L.- /-7
(Name)--dl/~~/ ~alKJt!:L/ _ . (Phone) ZZh ,..6b~
(Address),551 J :Jydll/ -(1 /-A;cY/. cid/ 'm~
, .
~~~~R ~ //L~ ~-L ~~<-_
(Contact Name) c~ '(-/2/L..-?
(Adilless) ~/?J~$d7 4~&;r~ (')S{g) }n.-t.J
TYPE OF WORK 0 New Construction o Deck OPorch
o Misc.
ORe-Roofing ~e-Siding
OAlteration OUtility Connection
;)
PROJECTCOST/VALUE (excluding land) $ rr;2)- V
(Phone)
(Phone)
OLower Level Finish
o Fireplace
OAddition
cJ9/--SS/Y
CJ-3~;7
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 abov mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
'ubmitred plam. I.m.w m the boo,"", ufficio! '"u revuke tho p=it '"' jml '"~.. Furth"""'"'. I ''''by """'" "", the city ~ "'. ~" moy
=terupontheprV/ erfo eed ;::~s. /Cic ~ ~J-tf/7 Oj~9/h'
( ~ I Sigllature Contractor's License No. I DIie
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
$ 74-75
$
$ Ir9-S
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
'1'- . 00
- '-~lJ-O ,
I
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 'It,.~
Recei~t No. LiD 50- ~
BVW /
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 NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
.;J < I
jUStd.e.-
,
/7/
L [oJ~
;;i;11 no,
h:t!?51- C/
SCHEDULED
CONTR.
PERMIT NO.
t!5 / - 7>s:j'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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GJ~J//e. T~
/
P//7
/-;/e.-
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~'/;~ FOR REINSPECTION BEFORE COVERING
Inspector: P# / Owner/Contr:
" v-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl