HomeMy WebLinkAboutBldg Permit 02-0969
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERnlllCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or orint and si2ll at b_~~~_)
. ADDRESS
3b fi'1 Will OW Be.a~ -rtd i I )
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
Date Rec' d
8~U -() 1--
"
,
L White File
2. Pink City
3. Yellow Applicant
"-
PERMIT NO. 02.-(; q(pq
Pr,'o(" Lak~ IYIN
I
553? J-
~;::~R Phil ip $ fYlari ~eroh .
(Address)3t8'1 Wi Ilou) AeaJ.. Iw I . friar / dkllj, m/l/
, .
BUILDER ~_ J /J ' . /l -r
(Name) '" Jdl1I1iYJ. lonsltuc:ffoV\ Lo. _ ...lJ)L
(Contact Na~e) liP"JJ/) .')jndJlJ.~ II3/iJ in~ IJJ'J 5su/
(Address) 3010 ids!- 'I~ ~; ~. IlIAI
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
PID
ZONING (office use)
(phone) 357... - 447 - l111
S5~7?-
(Phone) ~2- 1f()3 -'1100
~E~~ q~2-~03-q6oo
5~379
ODeck
o Porch
ORe-Roofing
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ /J IA
,
-
J'Lae-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~, e bo e,-men tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans aw that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ul e prop -p, rform neetfed inspections.
X <;-.,.. _ &.. 7;5/ B~;X; -oC}-
o Signature Contractor's License No. Date
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
2,5VV.c.IU
$ '1'-1. 7. j
$ -
$ 1_ z.-J
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ e - 2.() -o"l...--
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/S"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
/~.cJ{)
Q - ZU ~crz..--
#
#
#
#
$
$
$
$
$
$
$
$
$ --1_ (,., /I CJ
R7!-ceiP . ",Z7sr
By A
--.....
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, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
3689
WILLOW BEACH
02-0969
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 EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLose ~Tle
,\\ike Peterson, Buildir.~ Inspec7cr
DEt.: z LtJu3
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InsJ>ector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IMNOn