HomeMy WebLinkAboutBldg Permit 02-0678
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS .j1
/ I/dtJCJ :1t~ IJI 4/7 ~U-
..-' ,--
LEGAL DESCRIPTION (office use only)
I. White File
2. Pink City
3. Yenow Applicant
I PERMIT NO. O~- b 771
~q~P(JLid{t r!lt.V/) R r=L
~=R t/)/k-, /U 71ttut;f-N
(Address) Ih3dl1/JnJ/~ tJI
LOT /0 BLOCK ~ ADDITION
OLower Level Finish
o Misc. tJ1/lf 8th;
o Fireplace
(Phone)
-~
(Phone)
(Phone)
n,,u Sfd6 j
o Porch
ORe-Roofing
OAlteration
ZONING (office use)
Rl
PID::)S-- 161- O/f'-o
9(,). -#7 --th/9J
?6.-? ,39/-.1(/ L/
,
jd"Re-Siding
OUtility Connection
PROJECfCOSTIVALUE (excluding land) S 13 h~-~
,
OAddition
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 e building official can revoke this permit for just cause. . Furth. ermore, I hereby agree that the city offi1.0j deSigne.e may
;terupon the property to perfo . eded~Z' /iC -df J7 (;; IV/OJ-
/ gnature Contractor's License No. I ~te
,
BUILDEIL-..t=1,. \ r, ~ / /l
(Name) , //;AJ bf'JPrA../ JLA:.--
(Contact Name) S'. 77l U~.j
(Address) ~/lJ~P> iJ.uu ~;3/yd(p& /)J~
J7 vi. /
TYPE OF WORK. 0 New Construction ODeck
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
$
$
$
$
$
$
$
$
;).,~OOl}(:J
tt{/75
bd.-5
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee
SAC
I WaterMeter Size5/S"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
Paid
Date
/70
</(k'; -
h/~/CJo-
I (
#
#
#
#
$
$
$
$
$
$
$
$
$
. ~
'7~ /v'-'
Receipt No. t-IrlJ .c;"'~
By r
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 k.u"u...ry 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 OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.",
"'I
~TE nME "
IU~/,L A ./
---. -.:::
ADDRESS
I (, ~C/l)
Fr(Ntb11A. Lr_
PHONE NO.
CONTR.
PERMIT NO. -.OJ... - C 7 J'"
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~'d
J6 FINAL ~ I ,''''1t1\
o SITE INSPECTION ...)
COMMENTS: (i ... ~
'b
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,If WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Jf'{'( {O -~ 1.r OJ- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl