HomeMy WebLinkAboutBldg Permit 01-1090
09/27/01 THU 14:54 FAX 6124474245
CITY OF PRIOR LAKE
f4J 002
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I ADDRESS
f {~~9 /(,077'1
~T
sE5
LEGAL DESCRIPTION (office use only)
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.Y
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l. Whil. "F1l.
~. ",nil: Ciry
3. YellOw -,"IIW\\
PERMIT NO.
LOT
BLOCK
ADDITION HtUS/JVJ!. TDWItlH()~
PID
-()
\ OWNER
, (Name)
(Address)
BUlLDB:B.--.. \ l
(Name) . -L/11.^ ~ ro (~ ^ '1),) I \ ~ L r S
(Contacr Name) ~()...^ ~I""'Q I .J ^
(Address)
7 '7 b~A4. \J "-
.e..
N\~
TYPE OF WORK.
D N~ CmutnJction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /VALUE (excluding land) S
DAtldition
I hereby certify that I have l.\1mished information OD this applicalion which is to the bat of my knowledge trUe and correcr, I also ceni1Y that I am lhc OWDer or
authorized agent for the above-mentioned propertY and that all CO'lUtruction will col1CoJm to aU cxistiJag srate and local laws and will proc:eed In accordance with
submitted plans. J am a.ware that the building official can revoke this permit for just cause. Furthermore, I hereby ap that the city official or a designee may
en n the propertY. e nn needed inspections.
o Mi,c,
x
Permit Valuation Z.J500.00
Permit Fee $ 74.7S
Plan Check Fee $ --
State Surcharge $ I . z.s-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer &. Water Permit Fee $
Gas Fireplace Permit Fee $
nm~~""_p""w>=-
~ IC'1- -0/
Building Offiela1 Date
(phone)
j
-:r:: v'\.. (
(phone)
(phone)
foS-J tJ'I-IJG,o
fnS-J ?6'7-~:?lf~
ORe-Siding
OPorch
Re-RoofiDg
OAlteration
OUtility Connection
J.. 00 S"""'l q.~ t(
COD1raCtOr'S License No.
I
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S ~t._OO
1;'0' ~~:s
\ pOd
D~[e
~(,.o 0
() . z,...{) I
This is ro cerr.IJ'y mat the: requc:&t in the aboVe applic:ation and accompanying docummll is in accordance with the City Zoning Ordinance and may proceed as requellll::d. This document
when signed by the C1~ Planner coDStituICS a lemporary Certificate of Zoning compliance and allows consuuction to commence. Beroft! QCcupBDCy, a Cenificate of OCCUpilllC)' must be
issued.
Planning Director
D* Special Condition&, If any
14 bour Dotlce for all iDlpectiODS (951) 441-9850, fax (951) 447-4245
DATE
TIME
It. T-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~-aL/1
SCHEDULED /0 -9- ,
) ~ 0 lJ'- 5-1-
PHONE NO.
PERMIT NO.
I - /~f'1
j- /090
OWNER
CONTR.
o FOOTING ~ 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA! 0 S~R HOOKUP 0 FIREPLACE FINAL
%FINAL d 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE IN PECTION r 0 MECH FINAL 0
COMMENTS: &r~ ~~ at::
!!?':..ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto" ~ Own.,/Cont"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl