HomeMy WebLinkAboutBldg Permit 01-0563
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please typ~ ororint and sie.n at bottom)
ADDRESS
.=./2-7
/ (p 0 771 .sr.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name'
~.f77,q/l/.s, /N(!..,.
~I ).,. \.e:> ~.PV\I'~J~/J
/~~o ~~/Zj::: .eo.
,
TYPE OF WORK
o New Construction
DLower Level Finish
I. Wl1ite File
2. Pink City
3. Yellow Applicant
sC
(Phone)
(Phone)
(Phone)
tfHm../HI7S.s 6N
DDeck
DPorch
DAddition
DRe-Roofing
Date Rec' d
~'1. ()/
PID ZS-004--- aOz,-O
{,IZ- - 470- ZOO /
HAl
553/7
o Fireplace
DAlteration
DRe-Siding
DUti1ity Connection
'&(MiSC.
/-
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 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 upon the property to perform needed inspections.
19tz.e B6$7?)J2.Fj77oA/
PROJECTCOST/VALUE (excluding land) $
x
~J..\~,r--
~9- IJdCl.ot)
$ 4-3/. ~S
$
$
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penaity
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I
/4.50
Gas Firepla e Permit Fee
I
/
.
Approved
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
! Builder's Deposit
lather
I TOTAL DUE
Paid ~r,./5
Date /:1- 7,01
~
# $
# $
$
$
# $
# $
$
$
$~./S-
I Receg';:J3,?t, ,It,
BVr~
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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SfZ 7 /~Om 57 SC
NATURE OF WORK PI /?e /.2c.:-~ I () ,erl71 oN
USE OF BUILDING R..ES /If' ~
PERMIT NO. 6/-057P3 DATE ISSUED <Q . 7-() I
CONTRACTOR (J~J77/1/l/S PHONE t?/2-. ~70' ZOO/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"
SITE ADDRESS
INSPECTOR
DATE
I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J
rJ;r1
ff?n
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) ~
;/
(Jy/
I
'1/ ').,'7 ifJ/
I
71'301/0f
?/~J(DI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
~.
A..~
~
,
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 been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~3~/t11
'i{/2J)/6 I
flyo)cr
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
$/;)..1
DATE
SCHEDULED f/:3fy/
IttJ ~SJ
TIME
a;.&u
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR_
PHONE NO.
PERMIT NO.
i-5~3
o FOOTING
o FOUNDATION~
o FRAMING
o IN ULATION
NAL
aE INSPECTI N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FIN L
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
iF""'
~
~/
~.__.-
)fjWORK SATISFACTORY, PROCEED
(.; CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
1 nspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IfVSNOT!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
5(;)-7
SCHEDULED ~2a~5~ ~.~,
/GO'ti- ~
CONTR.
PERMIT NO.
",,-,.- ~_..18lIl13 RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)ll7PLUMBING FINAL
o MECH FINAL
0/- S(" S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY. PROCEED
I 0 CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: - 1/?:::1-, Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl