HomeMy WebLinkAboutBldg Permit 01-0551
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please.!'P.e or orint and sie.n at bottom)
ADDRESS
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2_ Pink City
3_ Yellow Applicant
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BLOCK
ADDITION
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LEGAL DESCRIPTION (office use only)
OWNER I f
(Name) /7 d)/'/) fro! Q-ri T ;7 L'::;:#
(AddreSs~ ?/,9"f JJ/;tf?~- <:;~11T llJeriJdo/LJ
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(Phone)~<-:J- ..1/47
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BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
DLower Level Finish
~eck
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
submItted plans I am aware that the budding offiCial can revoke thiS permIt for Just cause Furthermore, I hereby agree that the CIty offiCIal or a designee may
enter upon propertyt~An
' ~ SIgnature ~ Contracto,"s License No. Date
Permit Valuation IWO.-I I Park Support Fee # $
Permit Fee $ 47.QO I I SAC # $
Plan Check Fee $ 31./; I I Water Meter Size 5/8"; 1"; $
State Surcharge $ .~5" I I Pressure Reducer $
Penalty $ I I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I I Water Tower Fee # $
I Mechanical Permit Fee $ I I Builder's Deposit $
I Sewer & Water Permit Fee I $ I lather $
I Gas Fireplace Permit Fee I $. I I TOTAL DUE $ ,Gf, Go8
~ II ..
This A a n 0 e Y~m~:te~ I Paid -(J (,:-e Receipt No.-~ (,-, \
!Date(.4-DI By ~ 18-
j
Building Official te I
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
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK \)c~.
USE OF BUILDING ~b=,. A Ita
PERMIT NO. 0{ ,5';( DATE ISSUED
BUILDER U.'::h..c>-C:> (~-r-2-L../'fr-
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I' I
"'/4/0 I
~SPECTOR DATE
, FOOTING I ~ 111a- ?fo I
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
, FINAL
/II---.
fJ:/S . (., . ?c~~o'-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE
;;--;96";::)- JiG:"
1/l/3V ~CVTI-f-IJ1~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~IN ULA Tlqt\ _. 1/
NAL ~
o ITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ ~
G a. +"2...., I a... f '(--'
(
TIME
1- :;-5'1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-;Ja KJ /d
./"'"
~RK2iA TORY,PROCEED
o CORR CT t N AND PROCEED
o COR ECT. ~,CALL FOR REINSPECTION BEFORE COVERING
Inspect,r: ;( / Owner/Contr:
CA\.k~ls5" FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lN$NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!