HomeMy WebLinkAboutBldg Permit 01-0978
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
. AND UTILITY CONNECTION PERMIT
9-7-0/
Date Rec' d
(Please type or vrint and sign at bottom)
ADDRESS
~. ~i~i~e ~:~ I PERMIT NO. /II... Ol1rl~ I
3. Yellow Applicant V 7 / l/
~~tK)
~/R~tUJJ
~a;'1 SE.
~A'"t'1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
/ldtf 4-r{a/1 6'~/?~AI~>J
J7! IJ.() 7'qM./J /f1.) /I) ~tJRes "?;(\ S' E /
(Phone)
BUILDER
(Name)
(Contact Name)
(Address) Ic)~ J- I
/l1oAs ~a/~.,e5"
...Io,(v /J10.45
t1/ fl..QtYlk i ~
ZONING (office use)
PID7..a:)-o3/- 001 - 0
9S-~ - ~7-~~~-:l
~'I7
J-tJ
~66J
S-:J.:l7
~,
(Phone)
(Phone)
~Clm') #11< ,#tAl
/
95'" d-
6/;)..
:;"1771
/'
~e.Roofing
TYPE OF WORK
o New Construction
o Deck
o Porch
OLower Level Finish
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
o{P
PROJECTCOST/VALUE (excluding land) $ /.;), ?rO ~
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 p~~~ aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon <=-zzerfo2':ded~L__ c:J-O<J 6 i'" 7 9 ;7/01
/ Signature / Contractor's License No. I l Date
(
, Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
$ 7~ 7S-
$
$ /. ?J
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
'/(,.0 u
9,'1.,.{) I
.
I Paid
I Date
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7G? 0 6
Rece~'Pt - .. I)~'t~i
By A
,
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
DATE TIME
SCHEDU.LED
r; ---19~'I
If.r:
ADDRESS
5400 rr:-lf~;J SIf01Z65
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @J
! INSULATION
FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
/- q 71
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 GASLlNE AIR TST
o
K-PJp
&~..
r~~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
br
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI