HomeMy WebLinkAboutBuilding Permit 01-0115
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,lJ?1'11 tJ -#
OO~o~44-
File
City
Applicant
I PERMIT NO. 01- 0 liS
I. White
2 Pink
3_ Yellow
(Please !.Yee or print and sign at bottom)
ADDRESS
3~tt.f 0t!@f) Du.Cl?- ~Ve:=.
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK / ADDITION
W IL..f)S 3 I!L)
PID .z.s '331 -{) 2.G,.-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) 1?4"1'"""~ ~.~ :-' N L
Date Rec'd
2- 2 (p~r; /
ZONING (om" u,,)
ptJt)
(Phone) qt;;t--t:jI;5;-J/17 '5"
(Address)
TYPE OF WORK
o New Construction
ORe-Roofing
ODeck
OPorch
o Misc,
cgLower Level Finish 0 Fireplace
/~Pt.,.-~.
OAiteration
OAddition
ORe-Siding
OUtility Connection
PROJECT COST/VALUE (excluding land) $ ~O
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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon t operty to perform needed ins ections.
I ReceJh'pt 'l; 3"'cJ,/r
I By
~
This is to certify tha.t 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.
x
Contractor's License No.
I Permit Fee 1$ sc/. 7 S- I Park Support Fee
I Plan Check Fee 1$ I SAC
I State Surcharge $ . S-o I Water Meter Size 5/8"; I".
,
Penalty $ I Pressure Reducer
Plumbing Permit Fee $ Sewer/Water Connection Fee
Mechanical Permit Fee $ Water Tower Fee
Sewer & Water Permit Fee $ Builder's Deposit
$ I Other
Permit When Approved I TOTAL DUE
I Paid
I Date
35. Z.S-
2,-u.-.t!J1
Planning Director
Date Special Conditions, if any
24 hour uutice for all inspections (952) 447-9850. fax (952) 447-4245
2-2/,-01
Date
#
#
$
$
$
$
$
$
$
$
1$35.20"
#
#
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SfTEADDRESS 3~p,q L.')~k- n.-
TYPEOFWORK~rao.->........ ~. -/1:.......:-;,('
USE OF BUILDING 9P D
PERMIT NO. ()/-O/Ir DATE ISSUED "2 r2."'-C-{
BUILDER ((cJi{.....f12.. qes- t..{n~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
,...~1tKf I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'ffi~~ I I
DATE
, FINAL
,eiJ.' I s-~~~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
SCHEDULED ~ / /J-o 1 / I ;.. 3tJ
/VOtl~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,;;,~F4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING &J 0 WATER HOOKUP
o INSULATIQN, 0 SEWER HOOKUP
...cr1IPIAL 1--1-- 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: L ~ Lev~
"'.~"
f"fi"
L LDSe-~1 ~
.--
/-/15
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
f~
~ORK SATISFACTORY, PROCEED
o CORRECT T NO PROCEED
o CORRECT 0 ALL FOR REINSPECTION BEFORE COVERING
I
Inspector:
Owner/Contr:
CALL 447.98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
INSNOTl