HomeMy WebLinkAboutBldg Permit 01-0550
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or orint and sien at bottom)
ADDRESS
47 (175
(oUFf;
Hu--f r;d ()f?,
1/
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK \ ADDITION Knob +t II
Date Rec' d
S-3/-P/
/'iY
i:"
1. White File lC8RMIT~O I
2 P;,k c;'y _ "'_ , " _ 0 CC"\
3. Yellow AppliCllnl l J _ i;J,;:,)V
ONING(officeuse)
fJ-,/fJr ~ mill ' !i?/SJ:)
I
hlld-h.
,
Rlsn
OWNER -r::. I~ <: , . h I
(Name) ~n OJlci 'Jot'Sa(\ W fA, f' .u
(Address) LJ7( t?5: fb rtr;cLCl€- (1u r/; ~ Prior
U
BUILDER M /'r +, _ L:
(Name) l d .:r ob-ns0n l (JY) :Sl ruc.;r / (')n
(Contact Name) .~.vk' +lshf. r
(Address)
, TYPE OF WORK
o New Construction
DLower Level Finish
PID 25 -.3/,;2..-004-0
(Phone) (f7~ / - 4'-1S-- R5;l.::L
/~ fp ,f7J1lJ 5537d.....
(Phone) qS~-~d--5dOCL
(Phone) qs::..::>- ~qd.-5doC)
B1Jeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
PROJECfCOST/VALUE (excluding land) $ ;;} .(,)OCl~ On -I. 70n. ()()
Dutility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and eOITeet. 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
;teru:~~:oper:;J:;J;ecti;
- Signature ~
U
1_ flN'l_oo
(,,'"? II)
(j I. t'JCf
. 'I'D
o Misc.
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Nfti9ts YOUrBUilding~~i:;;;:r7ed
~~cial Date
/
o Fireplace
DAlteration
#
#
#
#
{,.4.ol
I Rece~_
By l-'
Date
$
$
$
$
$
$
$
$
$
ItJ5.0 9
Contractor's License No.
I Park Support Fee
I 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
I TOTAL DUE 1!lfIbU(~O
I Paid
I Date
/ O~. 0 .,
6. . 5:. 0 I
I
..:39t. 77
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 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 all inspections (952) 447-9850, fax (952) 447-4245
'"
PRIOR LAKE
INSPECTION
RECORD
SITEADDRESS ~ 'i)~ C+.
TYPE OF WORK ~ ~
USE OF BUILDING SF I~
PERMIT NO. () 1-0550 DATE ISSUED
BUILDER 1,)WJ l'::l lPsl- qC/S'-8~L
NOTE: THIS IS NOTA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
, FOOTING I 6:r. I /P / ~ /0 I
PLACE NO CONCRETE UNTIL ABgVE HAS BEEN SIGNED
'FR~MING ~ i\\$lli""" Deck,''3 I ~ I. ?/i)-/()/
'FINAL JJ4' 17//1/()I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lf7/"S
SCHEDULED '7//7(0 ( ,(.(-,
~9/ Uf,
.;;;;-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(j(-5~O
o FOOTING
o FOUNDATION @
o FRAMING
o INSULATION
FINAL
~ SITE INSPECTI N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: d)E!' j~
\liiQWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: c.... ~ ' Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl