HomeMy WebLinkAboutBldg Permit 01-1140
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,-u " OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Cfl,eue type: or prlnr and si1,l1 at bottom)
ADDRESS
I~ 5" D~t./ Ili:n~a. 7ra. /~_ PI' I;' r ~ "-e; In tJ
LEGAL DESCRIPTION (office use only)
LOT Cd-BLOCK I ADDITION
I. w.h. FII.
2. P;al: 1;;.,
',Yellow Appllcanl
PERMIT NO.
S5..B7~
Jh e \1 JLUtJ
OWNER
(Name) Daf/f' ~nd RJmnda LiYJdCfuj~ f-
(Address) 15')0':1- Om('qa fJ'o.i( ~ ~~
BUILDER C j1
(Name) (,JeO+-I- I;lftd k --IS 1,-0 nc:..fru t':h trY}
(Contact Name) . ~I'Z> -1--1- !^ill. I H V~_~_ _
. (Address) /{-72r; BlAfneJI rb.Yk-Dr.. BIA/Yl5/Jllle.JvfAJ
'"
~t.JVJ..
Date Rec' d
o -oj
.'
'\/,f
rNING (oftia! US!)
.4
PID d-0- J(,1'O)~- 0
(phone) _<:(52. -lI."-7'" <fOOl/)
,,?F"3 7~
(Phone)
(Phone)
qS2-?92-/~~~ (~
(g/2-l2/-~~
I hereby certifY that I have: furnished information on this application which is to the best of my Iawwledge ttue and correct. I also certify lhat I a.m the OWlle' or
authorized agent for the above-mentioned ".,)'.../ and mat all oonstnJe!iOI1 wiD eonfonn to all ~ state IUld tocalllws ad will proceed in accordaDce with
submitted plans. I 1m aware that the building official can revoke this pennie for just cause. Furthermore, I bereby agree that tile city official or a designee may
enter v.pon the pI" ~ ....J to perfonn needecl inspections.
/).
S5'3()v
TYPE OF WORK
o New CotHtruction
DLower Level Finish
DDeck
OPorcb
OAddition
DRe-Roofina
o Fireplace
OAlteratioll.
o Mille.
PROJEcr COST IV AI;~E (excluding land) $ 3},JJ DD. DO
x
~
Sil!Illtl1re
rJ? t) I. ~/)ff to
COIlttac:tor's License No.
I Permit Valuation
Pennit Fee
Plan Check Pee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Pennit Pee
I
$
$
$
$
$
is
is
i S
I Park Support Fee
SAC
#
#
WaterMeter SizeS/S"; ]";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
#
#
nm^{jjdJr7'-/;:;;~
Bvlldi~ Da~
f Paid
I Date
-; .r'
'tv. v'"'"
I () - 10 -tJ i
. r
~Re-SidiDg
DUtility Connection
/l? -/() -~ /
Dare
l-
$
i$
, $
I
'$
I $
'$
I
1$
i $-7&.l1V
-
Y./
I This is to cetrity 1Iw the request in the abo~ application and aa:ompanyinll dOl:\lmc:ntl is ill IlCOOrdlll'lCC with the Cily L.oning OrdinlU1Ce and may pr~d u requested. This d~1lle1I1
when signed bJ ~ City PlannB COII5litutes a tcmponuy Certificate of Zoning rompIianrr and alloW! COnstruction tD commCl\~. BefOre 0ttIIp3IIry. a. Certificate of ~aJpaII<:f must be
wued.
Planning DrreeInr
~ Specllll Conditions, if lIIIY
24 hour notice for all in5pectioDs (952) 447-9850, fall: (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/SS-O/ CJ~e~
~
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
/l ()
/4ro~ ,/
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
./J -'1 /
(p~);J /~G
/
~'3r~rn.E
O'/-//yo
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K:.;~;L7 REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI