HomeMy WebLinkAboutBldg Permit 01-1390
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
12- -/2-01
PERMIT NOotJ/-/31aJ
(Please type or orint and sign at bottom)
ADDRESS
344-3 .5PR..--u(!h 77C/j1t-
LEGAL DESCRIPTION (office use only)
LOT f{ BLOCK 5 ADDITION SU/\/fE..T Hlf--L...-J
~
~OWN~?\ L II. I ,h , -
rame)~. - ruF f\J~j
eddress) 3 'I <J:::, ~ r-<<- ~ ~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
tJIl)-e, r
Jr, , '\ LJ
o New Construction
OLower Level Finish
ODeck
o Fireplace
ZONING (office use)
12-1
PID 2S -172.- - 072 -0
(Phone) 9's J- - .y ~ t-y - ) '7 (, J
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAlteration
~e-Siding
OUtility Connection
I hereby certify 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
enter upon the property to perform needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
I 2-,500,.00
I $ 7'-1. 7 r-
p
$ I.. z..-s
$
$
$
$
P
Tb"~B,"mng;~~_:;~
Building Official Date
Contractor's License No.
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
'lcR .U'V
I 7 -11---,..-tL/
, - ,
I Paid
I Date
#
#
#
#
Date
$
$
$
$
$
$
$
$
$ It; .0 0
.
r
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3443
- SPRUCE
01-1390
Re-Side
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
o FINAL
o SITE INSPECTION
o PLUMbll'lu '"
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
CLCSE FILE
h\;~~ r~I~I'~u", du;/Jing Im>peC:Tor
OEe 1. LuGS
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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