HomeMy WebLinkAboutBldg Permit 01-1356
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ADDRESS
52.98
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//-30-01
I. White File I PERMIT NO
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LEGAL DESCRIPTION (office use only)
LOT Z BLOCK I ADDITION F/lteIeGf..,I-S /51 ;:IDDN.
OWNE~ . \
(Name)~~'~
(Address) ~.~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~r/a.k
~r~ ~l.
o New Construction
'J!{r-ower Level Finish
:L" JeOOI1S
ZONING (office use)
1€15D
PID 25 - 3(,,1D - tJOZ - 0
(Phone) q~2-4o~o~
. )~
(Phone)
(Phone)
o Deck
OPorch
OAddition
ORe-Roofing
o Fireplace
OAlteration
ORe-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
~~?4'!"'"'7 /1(:-<0&'
~$~ Contractor's License No. Da:
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/'
This
PROJECT COST IV ALUE (excluding land) $
,
$
$
$
$
$
$
$
$
2,tJOO.oo
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A
comes Your Building Permit When Approved
/1- j:)~/
Date'
$
$
$
$
$
$
$
$ /. 00
$ ~4-.ZS
R.ecei* ~~ /
BYr~ '
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
Other E-l-€ em I (?,.It L (St"nt,)
TOTAL DUE
I Paid
I Date
-
~ ~. z..-s
./1-_ :?O-b l
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
.
PRIOR LAKE' DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS B~~ +l a.'^^P~ $+.
NATURE OF WORK ~ LolA,JoV- lstv--J ~v.."jL,.
USE OF BUILDING SF\,:)
PERMIT NO. ()/- /3stP DATE ISSUED JI..3o-o (
CONTRACTOR S'Q~7(","&-~ PHONE 403-l~ert{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTR'CAL
~
~I
,
I z/ZI/ () I
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fM--\"~ ~- A l.//{J,Lm,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
-
HEATING
DO NOT
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~~
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections haW! beelT 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
ADDRESS
,L)2-Cz 9,
DATE TIME
SCHEDULED ~~~~~
tA-A-lM~~ m-J.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDA nON 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL ~ Lt..vefL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~/,R.f~.'> ~~ <3/1;z.ft72-
C V-IfKW ~~G
~
~ORK 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!
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