HomeMy WebLinkAboutBuilding Permit 01-0494
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
,5- 22-01
i -::- ~:~, I PERMIT NO. 0/- 0'//1' I I
J. Yellow Applicant ..,..., ...,..
qtlease ~ or mint and SiliDl at bottom)
ADDRESS
~~aL{ MARLEN CllfcLF 5..E.
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION fieeeN flH/C-S
Df G (LO
m,::JI2LhV ORt'LE.
OWNER r1
(Name) ---I""' ml' r I ( n
(Address)
h~4
BUILDER
(Name)
(Contact Name)
(Address)
<n.mp no: qboJtL-
t"'Ju..JJ1 P r-
TYPE OF WORK
~
o New Construction
o Fireplace
PROJECTCOSTIVALUE (excluding land) S
o Misc.
OLower Level Finish
2ti.!2.
ZONING (office use)
2.1
Pill Z54'2.7-001- 0
(phone) 9s'~-t(qo - 4Q()(')
-erlt1r W p
S.r..
(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--y-<'" and that all construction will conform to all existing state and loca11aws 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 upo~e y....y..nJ' to perform needed inspections.
X ~ J~~'~ OS"-,2:J. -0/
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Fenalty
I Plumbing Fermit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
::2,I'.lrn. c:9O
(,"1. 'ZS-
q'J"'.O(
, .()O
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$ //S.Z~
I~~~~
I
l')')rrr;:Buildin~:~;;oved
. ~cial Date
,
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. 'Ibis document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constnlction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
I Paid //5. ZlA
I Date 5'."2-# -0 I
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 Lo?... ?... 4
TYPE OF WORK -Dee \c...
USE OF BUILDING S'l='f)
PERMIT NO. {)}~()4q4- DATE ISSUED 5- 2 C/. '2<<:11
BUILDER f)d", fl6 . Cf52 - t./<I~ .t/1oo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
M a..r ( -e....---. Cr.
1?'X?.o /
, FOOTING I ,$/.c:rOR I ~/.t./I;~TE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,.~~ I I
I FINAL
!] .
I~, I fol'ltJllJl
I , {
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
~~[/
DATE TIME
SCHEDULED. o/~C/ ,ft r
Cm~h
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l-4itJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~N/ /
-e-FINAL /<-
o SITE INS ECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILL1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: - P;y , Owner/Contr:
/
CAll 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A1Ul FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTJ