HomeMy WebLinkAboutBuilding Permit 01-0269
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2_ Pink City
J. Yellow Applicant
Date Rec' d
tf~5 -0 f
(Please ~ or print and si2l1 at bottom)
ADDRESS
t./7t:.D JlVl-nrr. ,,,,o.b.R.h. -r~A. J
I PERMIT NO. 01-0 UtR I
I
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK l:, ADDITION KNob ill LL d "I) j) b1\ ,..J., ON
PID,..1S-
OWNER -rE~7 N~/~fjttJ
(Name)
(Address) l../71..o Hv 1M 1M '''1 b",..lJ T.v.,/
BUlLDER--r-; ~f
(Name) 0 '"
(Address) ?bOD oS OoJ-u.. ~i0L6 'b t::. , vi::-
TYPE OF WORK
o New Construction
~eck
o Fireplace
o Misc.
OLower Level Finish
(Phone) !lrZ- tJoZ - 91".r1o
9s~ - '-I'-/O-/2.,q
(Phone)
PUQA. /A-h
OPorch
DAddition
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
7 (JOG. ~
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 y....y...n) 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 0 cia! or a designee may
;ter~=pe;;:?=s ~O/7;)/94
.... Signa Contractor's License No.
'I,eoo.OO
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
9'7.2.5""
Cas .'2.\
2...(91'1
:...._._.;..> Your Building Permit When Approved
PROJECT COST /V ALUE (excluding land) $
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
$
$
$
$
$
I $
$
$
$ /C?z..4b
({.(,- (OCt 1 I Paid I &.dt- LIfo. I Receipt NO.dC{:)L{ b
Date I Date "TJ-q-O I By l' ,
,,-
This 15 to cerufy that the request In the above appIicauon and accompanymg documents 15 m accordance With the City Zonmg Ordmance and ma oceed as requested ThIS document
when signed by the City Planner constitutes a .~...t'".-J 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
...
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS !:f1J.I> gOW\IMl\",j\...h-oL (f'r-
TYPE OF WORK t~'lcJc_ I" ')c 2.A '
USE OFBUILDING S:t=f')
PERMIT NO. nl-oz,'=A DATEISSUED ct-~-2eol
BUILDER ~p{QC'III\ I .
NOTE: THIS IS'ilOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I "$~EcrOR I 4 IO/;;TE I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SlGNED
,....,.. I I J
"
I FINAL I 'f.,. ~CWII I 5'1 ~ 0) I
Call between 8:00 and 9:00 A.M. fot all Inspections ~ ,
FOR ALL INSPECTIONS 447-9850
. ..
.'
\
DATE
s-lJol
-. .
I.L,.lAA,^^~lo\Q krd. 'If: ~
I
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
47 (Po
OWNER
TIME
A-r
PHONE NO.
PERMIT NO. (9\ - 2G:,Q
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
D..)NSULATION 0 SEWER HOOKUP
pr J1! FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
,
.G \~ )
~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~R~\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ \.l ~ OWner/Contr:
CALL "7.9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY/