HomeMy WebLinkAboutBldg Permit 01-1411
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
PERMIT NO. 0 (-, L\\ ,
(Please type or mint and si211 at bu."'~)
ADDRESS
/ {Per?? {&rflJlf;tu Dr. 8E
LEGAL DESCRIPTION (office use only)
I LOT ~LOCK ~ ADDITION CN-o,~ ~r# ~~ AnD
(Contact Name)
TYPE OF WORK
. ZONING (office use)
fUSp
Pill 2') - ~((n..() 2~-o
ih'oy/.a ~O
. /
(Phone) 96;;- 4'1-7- ?~o
IV} ,J 5'63 ? ;;J.-
j h~. (Phone) !l6;;J- 403 -- 9/00
(Phone) ~ ,.:;1.- c:9 ~ / - ,51l.d:a-
M tJ ~~-cS?9
L \! Aa !rtJ-t:J~~
~
o New ConstrUction
o Deck
OPorch
ORe-Roofing
fte'Siding
OUtility Connection
. ~I DO
PROJECf COST IV ALUE (excluding land) $ /. ~I ,~-, .
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 pru....o.~1 and that all constrUction will conform to all existing state and loca1laws 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
;terupon th property oP~~;:J '7 ~51 j 2, J'7 kt
Signature Contractor's License No. ~ j riate
OWNER f) , 'd
(Name) (nntl n ")~ f fP ~ n
(Address)J~grParmptJ Or. s~
BUILDER () 1_ J A /JL' _ /1.
(Name) '--.5/1 r Ida tl ( 0 nsf-rU ur J dYU......D, .
\s' -Ie ;/ t'.,JX 1 ./
(Address) ....3CJ/ 0 4#' fJvt-. P.
/
o Misc.
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
OAddition
OAlteration
I $
$
$
$
$
$
$
$
$
'lCo- -
$
$
$
$
$
$
$
$
"2-s C)O ~ -
~
1 4- ~ ()
Park Support Fee
SAC
#
#
Receipt No. A \\~
Bv fU.) '""
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 k......v...ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Directot
(. '"2...<,
I Water Meter Size 518"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
#
#
our BUildmg Permit vnfen AJ,roved
I v 1\"') ,0'
______" Date
I TOTAL DUE
I Paid 7~-& - ,
I Date '7.f 1'7 ! 0\
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
16288
P ARKVIEW
01-1411
Re-Side
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'LCS= ~IL=
'\\;:"'e. re.I c.. ~ui., Du;IJ;r1~ IrI:lfJt::;dur'
. -
DEe Z LUUj
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 & SAFETYl
INSNOTl