HomeMy WebLinkAboutBuilding Permit 01-0397
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5 -l-D J
l?lease ~ or orint and sUm at bottom)
ADDRESS
4774- f?/tI2-7Je.lDff/€.
I. White File
2. Pink City
). Yellow Applicant
et)(),E4 /\Ie
LEGAL DESCRIPTION (office use ooly)
LOT7 BLOCK I ADDITION j::/IIO~ Iflu...- 47Jt
~ER
(Name) ~snry ~~'"
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
. TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
I ~ D?if-+J
ZONING (0_ use)
Ie/SD
PID z..&; ,..%>z.~ 6lJ?-O
~ or~'ffl
~..u..~) 9.~ ~Ia- 9/nN IKJ.
w - (,S/ (,~/- 88:38
(phone) _
(phone)
~ck
o Fireplace
OPorch
ORe-Roofing
OAddition
OAtteration
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
authorized agent for the above~mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
SUbmitted~lans. I aw~t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city OffiCla1 or a designee may
enter upon the p rty to P ee d mspe . ODS
X S-kJbJ
,f' C Contractor's License No. .~
I Permit Valuation
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 Pennit Fee
PROJECTCOST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
3,':lQO , t"':lf)
~,?S"
t;'tJ,1l
1.'50
f3&APP' tion Tomes Your Building Permit When Approved
-A- I;-~-?."
Buildin fficial Dare
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
lather
I TOTALDUEtAueJ)
I Paid
I Date
r.:!>lf. lira
c;-.i..t-o I
#
#
#
#
5-3-0 (
$
$
$
$
$
$
S
$
$ /3e.8b
I ~:eiPt~q ~l/.::5
(J
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 '~"'Y~'''''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
ORD
(\f-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING g~D
PERMIT NO, 0/.6:Yi1 DATE ISSUED 5- 3 -~I
BUILDER \ //)II,\~ .; (.., ':;"{ - GkJI .:. €& ~8
NOTE: THIS IS- NOl' A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~
INJ}PECTOR DATE
I FOOTING I ~ I ~ /as;6 I
PLACE NO CONCRETE UNTIL AB6vE HAS BEEN SIGNED
I~ I I
I FINAL fh. I 1/~L/(,1
1 ,
Call between 8:00 and 9:00 A.M, for all Inspections
FOR ALL INSPECTIONS 447-9850
'\
DATE TIME
CITY OF PRIOR LAKE Vz 'liD I A./i
INSPECTION NOTICE SCHEDULED
ADDRESS 177'-/ p~, cJ-.
(}
OWNER CONTR.
PHONE NO. PERMIT NO. t:J(- 717
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1jt;,FINAL
tJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FlN.At-
o MECH FINAL ,Ii
",.
COMMENTS: J)6~ /
.#JIl"I,",'" 'lilt~f1'i;L
..j.~'~-~
'l .
S!'~A
,
-
~~~.
o EX/GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
InspeClor:
OWner/Conlr:
CALL 447.98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
-,
CODE REQUlREMEN'I8 ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/