HomeMy WebLinkAboutBldg Permit 02-0709
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPO~Y CERTIFICATE OF ZONING COMPLIANCE
. . AND UTILITY CONNECTION PERMIT
(p-lz-02-
Date Rec' d
..
~. ';i~: ~:~ I PERMIT NO. OZ _ () 7 AQ
3. Yellow Applicant / V I
(Please type or print and siWJ. at bottom)
ADDRESS
/t 'I:J.'I h1/lJ1o~ live _ S- E .
PrIor bk~
ftJ;J 55 :37;;-
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT 5'"BLOCK / ADDITIONS~.RJt;fV/~ 1It~ ~Ot
~=e~R ~d\J IJJnesfcuL
(AddreSS)/tifJ-lJ1 (;JlmorfJ Ave,
PID ZS - 6Zi::::LJ05 - 0
SE
C.
f)/Of ~k
(Phone) 95) - .;J..;J,t - 5'1//
mllJ 65'37d-
(Phone) -.!is;) - t/o3 - 9/00
(PhoRe1 ~ 'J 5;) - tfo 3- 9 too
mA/ S537'1
BUILDER C I /'1 _ J L~
(Name) - JijnClriu, Lbn57rl"t.GT]On
(Contact Name) I3/CJJt1e- fnaSS-€R.,
(Address) 30/0 E. '11-6 Avenue.
I
/
Jne-
ShJ:.opu_ ,
TYPE OF WORK.
o New Construction
ODeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECfCOST/VALUE (excluding land) $ ~
~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
SUbmt. 'tt~d plans. I am a are 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 e perform needed inspections.
~ . ~ J3C.. TJS I f:/i/,iJ1~<<1Ia 1- 6-/2 -02-
- Signature ____ Contractor's License No. Date
Permit Valuation Z, 5V?J .uV
Permit Fee $ 74.7J
Plan Check Fee $
State Surcharge $ ~LJ
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
/CI. (/C./
~ ... 0 z......--
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ '1ta-oU
Receiy,~ 4-oz,..l2.1
BY7' ......._-~
This is to certi1Y 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
CITY Ofi-PRIOR LAKE
INSPECtiON NOTICE
SCHEDULED
~
A-,
.-
)04;24 Fi' 0 vlAore
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o jNSULA TION
.,Q'FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/"",:,,j ;-./J /I
.~
O~-7/)q
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIO AND PROCEED
K CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~.
Owner/Contr:
CALL 447-9850 FOR THki'NEXT INSPECTION 24 HOURS IN ADVANCE.
~ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl