HomeMy WebLinkAboutBldg Permit 01-0992
09/06./01 THU 09:40 FAX 6124474245
c~~ OF PRIOR LAKE
IaJ 001
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERl1J.4.tCATE OF ZONING COMPLIANCE
AND lJ A I.~ITY CONNECTION PERMIT
Date Rcc'd
I. Wllllc .i.. PERMIT NO
~:=- ~~ .01-09C{d.-,
(Please twe or orint and siD at boaom)
. ADDRESS . ZONING (ofI'Lce UIl:)
. ~aD~ v\pQ&1nt tj. f)E '1<~~D
LEGAL DESCR.a.r uON (olftce \lie only)
LOT 10 BL9.~K .L ADuluON (~ 6Lrl~,-M<J
OWNE~__ . ~ f)~A >_ . r .
(Name>' l'10~JI'~ l_r\.l\~~V'9 : HedfIJ(5:f'1Y"\
(Addres~ '-@i) ~4)If'nSflflf Sf. &.
BUILD~ ~ ~ ~
(Nam~) . -L . .)' (Phone) - i'5~ 72/..tJ('/)
(Contact Name) ( ~ t:J..d;tm5 (phone) - dL)fi,1
(AddresS)Q~)O fAI tluuv I~ t3W/l"i/ //IL mAl 5~a1_j
" '
I hereby ccrti~ thac 1 have rutnisbed Informacion on chi, applkattoD whicl\ is CO the best of my know1ed~ l:rUe and ~w.._.l. I also tenily chat I alft the oMlel' or
authorized agent for the above.mmnoned ." ".. ...; ancllbat all ~truaiOI1 wiD conform CO all existiog state and local laM and willI" . . -. il in acwrdance wlIb
Nbmitted s. 1 am ..war t chc building offtcial can revolce this permit for jUft cause. Funhenaore, I hereby agree that die city official or I designee may
en r\l~ e properlY co ded inspecdons.
f;
TYPE OF WORK
o Misc.
PID d)-l~'~ -0/0-0
(Phone)(Ea - L&/l- I L\ ,--,
o New ConstJUcdon
OLower Level Finlsb
DDec:k
DPon:b
OAddition
Olte-Roofil1g
OAll2ration
~.siding
o Fireplace
OUdJlty Connection
PRo.mcrCOSTIVALlJE (excludinlIand) S
JI)/ 3l!t2f/ ~
Contractor's Li<<ase No.
Q~t..o -01
Permit ValUation
Permit Fee
Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Pennit Pee
Oas Fireplace Pennit Fee
Date
s
s
s
$
S
S
S
$
-Jq ,75'
,
Park Suppon Fee
SAC
# S
# $
$
S
# $
#0 S
S
s
Sl(~ .6T)
Receiot No. 4(J5~O
BV ~
...
l'd5
Wat:erMeter SizeS/S"i l"i
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
-Builder's Deposit
Other
-TOTAL DUB
L
This Application Bocoma Your Building Permit WbeD AIIProftd
Paid ~?f., ,(JO
Date lj--//-() I
BuUdiDg Ofllcial
Pare
TtIiI is tb certify thaC the n:qUm in the abcm: appU;'tloD and I . .. ',,"", :", ~\tmcnll is In .~ordance wlttl thc Cky ZorIiII, Ordinance and may r" .'" . .4 u requested. 'Ibis cI()(l,lmcnt '"'I
when siped by Ihe City PIUlller constitll'es a tempomy eenmeare or Zonllla conIpllan<< lRel alIawS COftltlu(tIon to commence. Jk:fare oa:upanc:y. · certlflcaa: of Occupancy must be
\ssIKd.
PI:lrlning Director
Oat. SpecllI Conditions, If lilY
Z" hour Rotiee for aUlnlpections (9SZ)4.J1-9Sso, fn (?~1) 447-4145
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?//7/o1
A ./i
ADDRESS
L/Z()3"
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-.tJl - 99 Z
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL
~ SITE INSPECT ON
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
COMMENTS: ~.IJ~
~~
O~ tJ ~
)(\ WORK SATISFACTORY, PROCEED
( D' CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: V7':>n Owner/Contr:
- J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INIiNOTI