HomeMy WebLinkAboutBuilding Permit 01-0462
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
S-/~-Ol
1. White File I PERMIT NO I
2, p;"" Chy . 0' 1_ ".1../2-
3. Yellow Applicant I I J6r1O
q>>lease ~ or mint and sism at bottom)
ADDRESS ZONING (o_use)
/7/75 rj,~AJ/ll\/f /1~O{)W L,.v
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK / ADDITION PHF~ naW()/N 2No I1tJOtJ
OWNER
(Name)
no/>'> /lJ Jl1 () It (, AAi
17/2, r Ph cA.J'4,vf- J'0/::r.f.pu...v
(Address)
BUILDER
(Name) ,-;,,,,,, l"1orjAN
(Contact Name)
(Address)
TYPE OF WORK
o Mise,
o New ConsllUClion
OLower Level Finish
/'
~ck
1<./
PID 2.1=)-347- ()()3-0
(phone) 'fl(o-( SJ"7
PilI.{ 'f'n- .,.",/
p,'(IJ (2. L-A-Ic c:
&
I
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
OAlteration
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 r-~r';'-...' 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 up~roperty to perform needed inspections.
X~.., ~ _ ,E'-/(,-Oj
s1!Jture - Contractor's License No. Date
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 Permit Fee
o Fireplace
PROJECTCOST/VALUE (exc1udingland) S
11~f.lC) .(')0 I
$ SI) . (J'S- I
$ 37.M3 I
$ .AD I
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
#
#
#
#
$
$
$
$
$
$
$
$
I Other
I TOTAL DUE ~ 5'-/7-0 /
I Paid
I Date
q~, q'3
r-le.OI
$ q4_ 9.3
I ~1f{' 3'ffDOS
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. 1bis 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.
Planning Director
Date Special Conditions. if any
Z4 hour notice for all inspections (95Z) 447-9850. fax (95Z) 447-4Z45
..
.
PRIOR LAKE
INSPECTION
R 0
DEPARTMENT OF
BUILDING AND INSPECTION
.
.
~~
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING csrJ4
PERMIT NO. 0 I~ 04<02-
BUILDER ;Vlt,JC.. tA
NOTE: THIS IS A6i A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I r~ J~CTOR I ~ ;;>.'{;7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SIGNED
, FRAMING ]..~~ 'lk'="Jis ,.,.,!eddJ tf:tr I hi lP//))
, ,
I FINAL I yJ(} I b 11.,<10 \
Call between 8:00 and 9:00 A.M. t6r'alllnspectlons {
FOR ALL INSPECTIONS 447-9850
DATE ISSUED t'-/L - cevI
'""
.' .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7/;)<:>
tJ~
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING @)
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~
.-!.-' '
DATE TillE
t./~iOI A.T;
~
tit -l-{l. "Z....
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W02ALL FOR REINSPECTION BEFORE COVERING
Inspector: '" ~ Owner/Contr: _
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/