HomeMy WebLinkAboutBldg Permit 01-0769
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(Please'!\pe or 01 nt and silm at bottom)
ADDRESS
3/38
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White File
2. Pink City
). Yellow Applicant
Date Rec' d
7-26-01
I PERMIT NO. ()f.,o'&!iJ
WOOD
OcJetL. De
LEGAL DES :::R1PTION (office use only)
LOT (P BLOCK I ADDITION
OWNER
(Name)
Ev,;c
(Address)
BillLDER
(Name)
(Contact Nan e)
(Address)
TYPE OF Wi JRK
o Misc.
W/c-OS 31<.0
PID z.s -3.57- OOf.:,-O
tJal'lev
,
ZONING (office use)
poo
(Phone) H qs () - .. ()dh ' W L( 7
W 6/~-lq?~ }c(4o...
(Phone)
(Phone)
o New Construction
~DeCk
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlreration
ORe-Siding
DUtility Connection
4000 .
I hereby certify t~at 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
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
:teruponthepr~ope edinsp tions. " 7-;)0--0 f
(, ~ Contractor's License No. Date
I Permit Valuati( n
I Permit Fee
I Plan Check Fee
I State Surcharg(
I Penalty
I Plumbing Pem it Fee
I Mechanical Pe mit Fee
I Sewer & Watel Permit Fee
I Gas Fireplace] 'ermit Fee
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
~00c>. -
"\1. '1."
c..!>. z..\
"2.. -
Park Support Fee #
SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other _, t{hl-: ,11
I TOTAl DUE CJ.YA,,!?-
/ .
-uil~g perm; z: Al~ved
'Date I
Paid
Date
I/~;),j 4/0
. -7--"1-0/
$
$
$
$
$
$
$
$
$ \(.2-.4(;,
Receipt No. L-ttj I, b
if:
Bv
This is to certify th .t 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 th( 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
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
..
PRIOR LAKE
INSPECTION
RECORD
SITE ,\DDRESS 3136 WOOD DU~ De.-.
TYPE OF WORK DECAL.
USE OF BUILDING 12Bs AI/G
PERI-. liT NO. n / - 0 '7 ro q 6ATE ISSUED '7- 23 - () /
BUILDER HAI\\8\I / PHON'E # zz.1o - +04-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I 1~~~fU.ul I S-I?/~~
PLACE NO CONCRETE UNTIL ABOVE HAS\BEEN ~SiGNED
I~_"'e. I I
DEPARTMENT OF
BUILDING AND INSPECTION
.
I FIN~,L
~\
I ' I €I/N-.q tJN
Call between 8:00 and 9:00 A.M. for all inspe ions I .
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
~ r'3 ~
DA.TE /lME
SCHEDULED !5 ~)1- ;r ft--r:--
UJ t) odcLuLl(
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.' - il-..q
o FOOTING
o FOUNDATION
o FRAMING
A J])NSULATION _ V
C\Jl(.FINAL D~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
elt9~ ~'e
60RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOFl<', CALL FOR REINSPEcTlON BEFORE COVERING
Inspector:~\ Ij.J!d Owner/Contr:
CALL 447-98~O FOR/THE NEXT INSPECTION 24 HOURS IN ADVANCE-.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlfOTI
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