HomeMy WebLinkAboutBldg Permit 02-0392
\...11 i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERI UC leATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, WlIh.. Pile
2. Pint City
3. VcU_ AppI_~,
(Please tyDe or oriDt aftd sim an ...... ..)
ADDRESS 0 . f'xvr. '. (\
5& ~/~ ~d..maD ~~ OIl.ll.JJ
LOT
BLOCK
LEGAL DESCRIPTION (office Utc: only)
.ADDITION
~':e~~erd -VoYou.rn
. (Address) m r'1JL .. _
BmLDER
(Name)
(Contact Name)
(Address)
Date Rec'd
4-/9-lJZ-
PERMIT NOV2_ 0392-.
ZONING (oIIIce use)
PV.o
PID26-z'19- tJz.9-()
- ~ (PhOne)Q5~ "'~,...4J tJ.O _
~\f\~ \ W _536 Iff"
(phone) I ba~ 7? S ' d?JJ' I
(Phone) In} d--q~JS r~
C r
9910 ZII'. Street
m1i.~-
TYPE OF WORK
o Mise.
x
Pennit Vatuati01'l
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
Plumbina Permit Fec
Mechanical Permit Fee
I Sewer.t Water Permit Fee
I Gas Pireplac:e Pennit Fee
o New CODstrUttion
OLower Level Finish
"
I / :JsoO .<90 ,-
I S 7l{~-,?S
IS
J S /" d~
I $
I $
IS
1$
1_$
"'~Y_B_:N~~
BUilding Oft'ic:ia.l Dare
ODed;
OPorc:h
J
~Re-Siding
Ot1tility CormeclioQ
'-I-J8.-D~
Date
# $
# S
S
S
## 1$
# IS
's
I
is
1$ 7'.00
I t."~tIC!!-<t
Thil is to c:mily th. the n:quClt In the above Ipplimion and I.., ,., . r' 1lYin. doc:Ii~enrs Is in ac:conIanee with IIle City ZoninJ Ordinmee and 1M)' proceed iI reqllemd, This cIocumr:nt
whea lipcd by thl: City PI8IIl\cr IXlIISlitutcs. lI!mplll'lll')' Certibtc: of Zooin, CDIIIpllaDa: IIId ilIIov(J conlllUc:tion to t:OIIUDIIIc:t. Bdore Dc:C\lDllJlt'Y. . CMilil:ate ofOecupuu:y m111t be
lAued.
Planning DirectCIr
100 III
;}01++-:lPi5
Coqtl'act(lr'S Licinsc: No.
Park Support Fee
SAC
Water Meter' Size S/8"; 1";
Ptcssure Reducer
I Sewer/Water Connection Fee
Water Tower Fcc
Builder's Deposit
I Other
I TOTALDUE .-
.Paid
Date
'7 rL:..P (/
4- -L7j'-iJ2-
0* Spc:clll Conditions. If any
24 hour notice rorall L... ..lInn.. (IMn4aI~";_...c:n ...-. ,....4'S.,;;';t'LHn9 IVd n: 91 l1B.L ~0/811tO
ffiIV'1 ROIRd dO iW.o .J ...
+~/p~ jf--r:
..s~~9.- ~ 'R/~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
..
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~ ~SJ:'LA T10'in ,..- 0 SEWER HOOKUP
...P-'flN'"AL L< (J/1 F 0 PLUMBING FINAL
o SITE INSPECTIO~jk-- 0 MECH FINAL
COMMENTS:
~
,.
~
,
.~~'~*.~-
DATE TIME
,~- 3 9J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~v Owner/Contr:
U/ rJ
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl