HomeMy WebLinkAboutBldg Permit 01-1415
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sie;n at bottom)
ADD}!,E, . ~'l/ ()
~ 7. ~3-o JLCt4j ~.
1. White File I PERMIT NO /1/
2. Pink City . 0 f - . l-
3. Yellow Applicant -:)
~fi~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK ~ ADDITION /1c~ ~(,1 c:ik ~ t;llt-J
. . 1'.. I /1
OWNER I~ ,I C\ / /;/~ I / V J. /J. V .
(Name) -p/1Af-1 t7( 'V I '0 P./'v'-!,LM It bLM. ~
(Address) r;3 ,-/1 D )-DX{-W1 (jf ~~
,
BUILDER J 1~~ N /_
(NameL_JJJI . ~ ~./~
(Contact Name) . 'CA)\J\-L../
(Address) J 'I J /1 Z un- iJ Qu...{
TYPE OF WORK 0 New Construction o Deck
'PLower Level Finish 0 Fireplace
o Misc.
PID
(Phone) it; /j- ~ Yl/- 5/Jd y'
Ah --Sj 3 7l
(Phone)
(Phone)
9"9 s= ySOV
% 7 S- ? sc:J?)
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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
submi plans. I am aware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter/o n the ~ t~erfo neede. inspec?ons.
t'>. Contractor's License No. Date
Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Pee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~ J')Jfu
C:~i):rsYOmBOO~;~:;;
BuhcM1(gJ9fficial Date I
j
ertirvthat the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ptoceed as requested. This document
'>y the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
./
Permit Valuation
"-'
t./,(JQO . t!) ~
. e~.2S-
2...00
40 . t? 1.7
'10 . () 0
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other f.c..6-L.
I TOTAL DUE
#
$
$
$
$
$
$
$
$
$
#
#
I
I
I
I PO I
17 t;'. Z'LJ
Receipt No. +fI' I
By f(.() It
#
p6/lAl fr
I Paid
I Date
( 70. "J.,~
1'2-/ f sl f.)/
1
'anning 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
P R I 0 R LA KE [jEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~Cllo F;x~,' I Tr
NATURE OF WORK ~w.er ~C~'<ll\4
USE OF BUILDING 7)~ ff'\
PERMIT NO. t:)/- 1415' -- DATE ISSUED / Z -/8---Q(
CONTRACTOR ~(I"~ PHONE-U/2-'dY-l/2AY
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I j
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOT.ICE
This card must be posted near an electrica'l service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Jr-{{ 0
PvxfrAf 1Y1
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
() 0 LW ~ 0 ""~ JO i:, /
rh ;;1 ~ bc,s~....., 'tY1:-I rs
--
I (,YSr
./
<....------
DATE TIME
'-(-ly
/- /4/~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J1 () JV'/J/;)::.e:1 n:-., IS-
.{:'.'
. /lYI r<, b?...r-J,~
If"'-,
J-~' f.12
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.
II'ISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!