HomeMy WebLinkAboutBldg Permit 01-1359
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sism at bottom)
ADDRESS
IIPU:>O EQQle cN!.eJc Aue. S.E.
I. White File
2. Pink City
3 . Yellow Applicant
1*
PERMIT N~
Jf't:)/-- 13C:;-Cj
i
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 1.) ="
(Name) Cftj ~ ~or /....~ (~e.
(Address)
(Phone)
BUILDER
(Name) M.~ A:lc:a.,..""" r- ~A~d~'" S
(Contact Name) I DIY\. ~C::::>t'\.We..,'
(Address) IOf t.v. ~"r"sC>,Jle.. t>l<W..)'( )/.;1.;20
(Phone) ~ ..890" /pfDB ~/
(Phone) IB 3.... ~BS- -l.{J I ?
"i5et"II1~t:J"I-e.... I'YIV'I. Z-~ 7 ?..
,
TYPE OF WORK
o New Construction
ODeck
o Porch
OLower Level Finish
o Fireplace
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
_f!..Misc. E5 ~f.~ .::S f.('Ste.I"""\.
PROJECTCOST/VALUE (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
submitted plans. I :~e 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. prop~ Y?fO~ded inspe~ns.
X ~~/C.~ Cc.OJ03/ 4"'Dec'OI
Signature I Contractor's License No. Date
~ fl!i'
. Permit Valuation I /3 &0.. P-tJ1r I I Park Support Fee # J$
Permit Fee 1$ 4"1.90 I I SAC # I $
I Plan Check Fee I $ -;;'LJ3 Water Meter Size 5/8"; I"; I $
I State Surcharge I $ , "S- Pressure Reducer I $
I Penalty 1$ I Sewer/Water Connection Fee # I $
I Plumbing Permit Fee I $ I Water Tower Fee # I $
I Mechanical Permit Fee 1$ I Builder's Deposit I $
I Sewer & Water Permit Fee I $ I Other I $
I Gas Firepla"rmit Fee .I I~ I TOTAL DUE 1$ "7r. r;$
I II /' ~ I I
This Ap 0 ec s ;:p l:J;f I Paid "1 &f. fo~ Recei{lt No. 'feY! 6v
I Date ('L/t 0\ By rLf)/!t ,
,
Building Official '\': ./ at
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
INSPECTION
RECORD
SITE ADDRESS I G.2..GD EAGw r:'r~ Ave
TYPE OF WORK Co,VY\VV\ A-/r2-- .
USE OF BUILDING 0 \ - lss Fl~ ~ / f '.
PERMIT NO. Ol- 1354 DATE ISSUED ( 2/ f /CJI .
BUILDER vV\~ ~AM\ L'.cuu~TdL!" PHONE# 'rr-gtto-~'h1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~rnt I I f
c-- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
il~ft4\~ I I J
FINAL I '7..i e /01-- I 14,)
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
_ 07/
~
TIME
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tZ/1-/3s<l
(
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
;es~ .4L~<:. ~ ~~
c'C/~S-6- A l...6-.
?K SATISFACTORY. PROCEED
o CORRECT ACTIOftl D PROCEED
o CORRECT wt7<. ct L FOR REINSPECT/ON BEFORE COVERING
Inspector: ,<...c.. \' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl
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CITY OF PRIOR LAKE
BUILDING7 ~ PLAN REVIEW
INSPECTOR WU C\J
~TF , -z-/41 t7 ( PERMIT NO 6> 1-
2 ~CCEPTED AS S~BMITTED
'~IJ ACCEPTED WITH CORREcnONS AS NOTED
I. . 0 NOT ACCEPTED-CORRECT & RESUBMIT
These comments are for your information. All wort< shall be done
. . In full compliance .wit~ all applicabl~ ~uilding & z~nin~ cod~ re-
o quirements including items not specifIcally noted In this reVIew.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
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