HomeMy WebLinkAboutBuilding Permit 01-0500
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~ -.23-0/
L Wh.. FiI. I PERMIT NO.
2. Pink City
3. Yellow Applicant
(Please!\pe or orint and sil!Il at bottom)
ADDRESS 5> d.-7 H-i,hpoi/lte Cf. sl;
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK ( ADDITION (I A A~d ~J~ 0/ ~
OWNER OJ_ J I...
(Name)~
(Address) 55;).,
j:" Ka i5-efStrl+
H-i ~hflT''n.u ( J.
ONING (offieeus,)
rUD
PID ;:)!i - i;; S - 013--<)
(phone) 15).. - d.~ io - :J..sr:; &,
SI:
BUILDER
(Namp)
(Contact Name)
(Address)
(Phone)
(phone 1,
. TYPE OF WORK
oDeck
o Fireplace
oPorch
oAddition
o New Consttuction
ORe-Roofing
)CLower Level Finish
oAlteration
PROJECfCOSTIVALUE (excluding land) $ l/ Jroa
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
_'~.'~____~_b'~_ _,'___~"'_.'__
enter upon the rty erform R'deJlF<fons. ~_
X , / L.)f.[JJ;;uHV- . 6 ~;l- fJ I
s~ Contractor's License No. Date
. I II
I Pennit Valuation t.(otY"" . /!t)a
I PennitFee $ . ff7.'l.~
I Plan Check Fee $
I StateSurchMge $
I Penalty $
I Plumbing Pennit Fee $
I Mechanical Permit Fee $
I Sewer & Water Pennit Fee $
I Gas Fireplace Pennit Fee $
Q _/1
r;;: li . YourDuil' Permit When Approved
~J Duildin
o Misc.
"2<<'-
I PMk Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
~.ro
.J.(4 &,.)
Other
#
#
#
#
I TOTAL DUE (Jae~~ r. 2 f. () I
1).7..#.-7tDo/
bare
I Paid
I Date
179.2.'>
r. 'J7..-~() I
ORe-Siding
I
oUtility Connection I
----
$
$
$
$
$
$
$
$
$ /29. z.s-
~
II
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 t"...y.........) Certificate of Zoning compliance and allows construction to .yn_____._" 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 S-t::;7~~1fJ-
NATURE OF WORK L6<oJ..:t;;;;Ii' I-~,....~jl
USE OF BUILDING
PERMIT NO. 01- D50Q DATE ISSUED s~ ?~- 2.0"
CONTRACTOR Kai<::-tJ<;.J1 PHONE :::l2G - 2 S-S-<"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
_G I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
----
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t;h.
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,
4// /4"
~1'/6~
'11//6 2-
1/1/^J.-
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
IYr/
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-
rn/
lyY)
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have bf8ll approved. On buildings and additions
where no service cabinet Is available. cara shall be placed near main entrance.
..
'..,....:: _ .) c..
q-I~ (JL
1-iZ-DJ-
BEEN SIGNED
.,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION I
~ FINAL L I-
o SITE INSPECTION
COMMENTS:
..4dcJ cafe!
DATE TIME
SCHEDULED q -/~ - Cl-- Ot;o-()
S S- ;J.. 7 Fi /0 A {)() ;Alf-- eL.-
I ,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Qrr
rc fu""$
/-S() 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
( roc Ot/-t--..s ')
'-
"'
rr}
rr U-
I
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT,~~CALL FOR REINSPECTION BEFORE COVERING
Inspector: r if" q / /J-OJ- Ottner/Contr:
CALL 0147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
//. i O~
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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