HomeMy WebLinkAboutBldg Permit 01-1371
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
12--'-0/
~. ';i~~e ~:~ I PERMIT NO. 0 1- I.' 27/
3. Yellow Applicant cJ
(Please type or print and siJm at bv..v~)
ADDRESS ZONING (office use)
17bID~~:-~~.P ~L{)
i
PID2b-/fp8-()O/'" t)
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK I ADDmON & N\AI> ri .c <, 1 t; ~
OWNER ~ .t-. , .fA ' I. \ 1
(Name) ]J..n AAYD t- \t%1'VY\LQ --U/ f1h _ N\ _0 NY\ OMl\
(Address) 17 0 I ~ J-LlIn.1w-k- ~t A ll)
BUILDER ~ () ~ f\... I (\ ") I f I
(Name) Luh ~ J ~lMl.J . (Phone) W -1'? Lf - db '1 P
(Contact Name) Wr '-1Ttt) f 1'~ ' - (Phone) W -7tfr 4- - :1 fo C/ I::
(Address) 47C{ ~B~ ~~~,SOltf
(Phone) q 5 ~ ~ If LfO -337 7
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
,MRe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (excluding land) $ /:J...) ~ 0 0 ,
o Misc.
I hereby certil)r 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 plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
. ;terUre\:e~(ro:e~~sOI.rmgnantuereededinspections. $- (1 4-?; I !1-ja.e U ) It I
o Contractor's License No. u~
I Permit Valuation I Park Support Fee
I Permit Fee $ 1 k . 0 0 SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
Plumbing Permit Fee I $ I Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ I TOTAL DUE
comes Your Building Permit When Approved
I Paid
I Date
'l~. DO
/2/f ....a..J
--1vVJ.... 0 l-
Date
#
#
#
#
I $
$
$
$
$
$
$
$
1$1(0.00
I Recr-i . ;fd9'i7
I By A
-
I 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
ADDRESS
//70/0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
;J /
~s/de
SCHEDULED
l\~#7.ser
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIllE
3045-
/ ,
CP~-/37/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/"? / /'
LO~P//e -r~
/
~--_._._-------~
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(///OS-e /rr /e> ./
~ "--- ---
,/ = WORK SATISFACTOt{Y, PROCi:i:D
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, ~~J..' 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!
INSNOTl