HomeMy WebLinkAboutBuilding Permit 01-0109
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Drint and sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT & BLOCK / ADDITION J:::/Vo6 #/LV
OWNER D^ ,
(Name) -----I---ml L-
(Address)
BUILDER
(Name)
(Address)
477-1
PID ;;>.5-3&:>2- 60&-0
Date Rec'd
ZONING (office use)
,e.f
St1L~
(Phone)
950< L410- 14'6
f
(Phone)
TYPE OF WORK
o New Construction
OAlteration
~Low~eve~~T5 .
o Misc,
ODeck
OPorch
ORe-Roofmg
ORe-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
aUthOnZ~d ent for the above-mention property and that all constructIon Will conform to all eXIstmg state and local laws and wlll proceed In accordance WIth
submltte pI slaw the till g offiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the City OffiCIal or a deSIgnee may
~'erup nth pr tope n d perno ,.;), /:::JI /... I
Signature r Contractor's License No ./ Date/Laf--
,
fY ~Vatiorecomes Your Building Permit When Approved
~.-I:t:- '2. -2'"2 -20=/
Butljing Official Date
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
o Fireplace
OAddition
#
#
#
$
$
$
$
$
$
$
$ /. 00
$/30.25
PROJECT COST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
I
I
I
J.
t>~ I Sewer/Water Connection Fee
owA'lE]l?...
1 I Water Tower Fee
I I Builder's Deposit
I I Other C;t.bU.etC/7 L-
I TOTAL DUE
#
Paid
Date
/3o.2-~
Z'Z.Z-Ol
I ReceiptN 3'10:::36
By~
,
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
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.
87,2.5
Park Support Fee
Planning Director
SAC
Size 5/8";
Water Meter
1";
2-,00
Pressure Reducer
40.00
PRIOR LAKE DEPARTMENT OF
, . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS t.I,/(,? ~f't',~ () 1-
NATURE OF WORK ~ '_' - ~'L~."L
USE OF BUILDING SF!)
PERMIT NO. nl-,(){Oq DATEISSUED '2~2-2.'2at:=>/
CONTRACTOR ~l1::ur9' PHONE~ -IC/&&
NOTE: THIS IS NOT A PE'FIMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ING ,L -5;/?A ~
INSULATION r 1./",/
'0-1.
ELECTRICAL
PLUMBING ~. 5-!JJ/ t!
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
I ELECTRICAL
I PLUMBING
, HEATING
DO NOT
A
~,
,
'-?,?z3- /ff~
'JIll I ~
(/,/(/VI()~
BEEN SIGNED
~.
OCCUpy UNTIL ABOVE HAS
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 shall 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
Z,U-01-- 4:1/7)
41(02. P/7,e;;t;efD&E U.
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO.
/-/()q
(' Jl /KLO
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP ~ 0 FIREPLACE RI
SEWER HOOKUP 0 FIREPLACE FINAL
LUMBING FINAL 0 GAS LINE AIR TST
ECH FINAL 0
/~
o FOOTING
o FOUNDATION~
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
fLJ
,
f
,-if
;,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W:5:ALL FOR REINSPECTlON BEFORE COVERING
Inspector: J Owner/Contr:
CALL 447-9860 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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