HomeMy WebLinkAboutBuilding Permit 01-0011
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1/3/01
(Please !'(Pe or print and sign at bottom)
ADDRESS
I...f,,::>~g HlJl'nrn'l'1abirrl
I
LEGAL DESCRIPTION (office use only)
LOT Z. BLOCK Z. ADDITION !<'tJcrB J.f1 u:... 3120
'/n'ii I
; ":;~~' ~:;y I PERMIT NO. 01-00 II I
3. Yellow Applicallt
N.f:_
I ZONING (office u,,) I
F2--1
PID Z. tI). 34'1- ('I'$JJ.{)
.
.~ HZ-Z?lJf '1qs/
(Phonel q.~. '\ Z3::"~ol:n
\ ./
'/fjor Lt'lKP.) t111
OWNER
(Name)~ r ~hlJ /.I..~
(Address) .l..J"5':'fl ~lJ""""""" Inri r(..j -rr"i \ N r _
BUILDER c;: II ""'->
(Name)----'o.Ill.l. Ir
(Address)
'=''' ~E"',
(Phone)
TYPE OF WORK 0 New Construction ODeck
~L~~r Level Finish ~ ~~ace
o Misc.
OPorch
ORe.Roofing
ORe.Siding
OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (exc1udingland) $~
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 ....~_,..~nJ 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 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 ,._,___, to perform -;:pspections,
rfJnrM..\~
() Signaturd)
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
~ Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
"z. . 26
I . (!)o
4..0 .D 0
s Your Building Permit When Approved
_/ - () " - o.~
Date
Contractor's License No.
1~;<qJcn
Ibate
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1'" $
.
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE dllue:D /03.25
J. q'OI $
I Paid /l)3tf; I ReceiP>>J' ~Sfo
I Date /- / -0 I Bv / ijl
f
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma~ proceed as requested. This document
when signed by the City Planner constitutes a .......y........) 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 .11 inspections (952) 447-9850. fax (952) 4474245
PRIOR LAKE 'OEPARTMENTOF
. ... BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L.U:;~ IIUW.~'hLO b,,.~ \r:=:--'
NATURE OF WORK ~ . '4- ~
USE OF BUILDING ~-^-
PERMIT NO. () 1- on / / DATE ISSUED J ~ 0' - 0 J
CONTRACTOR s.~ l.lJ lh:- PHONE 2 ~3-tl/'l n
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
,
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
~
\,...../W. ~ f~4o ~ ~
HEATING (If required)' J
. FIREPLACE ./ _ kr . ~ ~ 3(h)
GAS LINE AIR TEST --- tq.~ ';;/e7J-/61 J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
FRAMING
INSULATION
ELECTRICAL
"
-
Iah
,
1 2-/71 Is-I
BUILDING
ELECTRICAL
=:-
DO NOT
~ /~~I/~I
OCCUpy UNTIL ABOVE? HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet Is available, card ~ail be-placed near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L/SS9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OI-lJO/(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATlON~
~ 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
cB: FIREPLACE RI
FIREPLACE FINAL
GASLlNE AIR TST
o
COMMENTS: l-. L ,
,,,.,;~:~~-',_.
'-"IK;".'Jioi~!'
r
~ 'fJp
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO"LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
}
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI