HomeMy WebLinkAboutBldg Permit 01-1011
09/13/01 THlT 09:36 FAX 6124474245 CITY OF PRIOR LAKE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND l.JIlLITY CONNECTION PERMIT
14J00l
Date Rec' d
q'lcase tvDe or Drint and. sUm at bottom)
ADDRESS
I. W1Iilll ril. I PERMIT NO
2. Pint CIIy 00 I
3, Yellow ApplkaDl I~
':;>'-14-0
() K../ 0 l..6 p ~ ae;
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK Z. ADDmON ~/N,<:J'-- JZ.IOff16 3&;)
PID ZS-3/fD- 02-2-0 _
OVf.NER ,
(Name) 10'1 '! Hf:;A7?I~ Rt'JS~6
~/'1e-
~=)"R ,~hnAf.( Wuui~.J S,dlntl. Inr.
(Contact Name) -t~~ffi:r ~
#5LdiD -fjl S1rce-t fu<;t, TIuJlAlfLjton,
(phone)
(Address)
<Address)
- (phoneLJ6J / L/-r.oD - ~ L 9 "
(phone) ~t:;1 'J 2 4R - ~q-S
lvtl\J 070'L 4-
TYPE OF WORK.
o New Construction
DLower Level Finish
o Deck
o Fireplace
DPoreb
OAddiIion
ORe-Rooting
DAlteration
)4:e'Siding
DUtility Connection
o Misc.
PROJECf COST IV ALUE (excluding land.) S
I hereby certifY that I ha\"e fumi,he:d. information on this application which is to the best of my knowl~ true ane! .wu._. I also certi1y that I am the o~ or
aut:horl~d. agc:nt for the above.mentioned property and that all constnJchon will con1brm to all existing state and loca1latvS and. will proczed in accordance with
submitted plans. I am S.Wafe that the: building ofliciaI can revoke this permit for just CAUSe, Funhermore, I hereby agree that the city offidal or a designee may
;ta~&::-~~~-Vt:t- ~~J.. q.~~QJ
I Permit Valuation' Z, $00. 00 I Park Support Fee # $
I PennitFee . $ 7~. 75 I SAC # S
I Plan Check Fee I $ I Water Meter Size 5/8"; 1 "j S
I State Surcharge $ /. 7 c;- Pressure Reducer : $
I Penalty S SewerlWater Connection Fee # $
I PlumbtngPermi.t Fee I S Water Tower Fee # i S
Mechanical Permit Fee I S :Builder's Deposit I $
~er & Water Permit Fee I S Other i S
I Gas Fireplace Permit Fee I S I TOTAL DUE ,j S 7 ~ _ () 0
This Application Becomes Your Building [ .", .:,: When Approved
Paid "'J(P ,00
Date q -IL/-OI
Receipt No.
Bv () r ..,;
o
Building 01flrial
Date
Tbis is to certify that lite ....quest ill the above appliealioft and a""OnlpiJftymg doe\lmettlS is in i1=daMe with the Cil)' Zoning Ordinance and may ,......J as ~qucstcd. Thi5 do~mcnt I
when signed by the City Planner (;onwtutes a .. '..... ....ry Cenlfl(:&fe of Zoning (;~1iaJKe and allows (;OIl$tt\IC'lion to COm~Ql, Before 0CCl.lpi\1\(y, iI Cenificate of <kcupancy must be
issued.
Plannin~ OiI'C(ltQT
n. Special Conditions. if 1lJ1)'
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
59"-/0
tJ~
OWNER
DATE TIME
. A. y-;
f/-f ,
PHONE NO.
CONTR.
PERMIT NO. ~ -Of-Iot(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/!! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
,'.
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ ,. Owner/Contr:
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI