HomeMy WebLinkAboutBldg Permit 01-0566
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
(, .(p'OI
~ase .!VDe or orint and sign at bottom)
DRESS
2>031 ttcuO~Rl'~~' NW \\101 LoJ<-e---
LEGAL DESCRIPTION (office use only)
LOT /ZBLOCK Z. ADDITION #~,e7HNOoO O/t~ ~/nll;:;.::J 1ST PID 25 -3"0- 0/5- ()
~e~R1;ill owiAV\\J'\ ~a.lA--kr-k'U>
/
(Address)
(PhOne)0i5Z) 72~ - ~ Z. 9JJ
B/t-bW:"l5Z -e'+- 0/$+
BUILDER
(Namp\
(Contact Name)
(Address)
(Phone)
(Phone)
PE OF WORK
o New Construction
.8{Deck
o Fireplace
OPorch
DLower Level Finish
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtiliry 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 Y'~Y-'~J 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
enter up'on the pr erty tOW;rform n e.ded inspections.
X t)H A-A &--~~pl
Contractor's License No. ~
I Permit Valuation 3, ()() O. 0 0 Park Support Fee # $
I Permit Fee $ e3. 2-S SAC # $
I Plan Check Fee $ 54-. /I I Watee Meter Size 5/8"j 1"; $
I State Surcharge $ /.50 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
n
I Sewer & Water Permit Fee $ lather . 6Y ~y.:i'y() \ $
I Gas FirePla~it ~ee $ I TOTAL DUE fDf' (g' $ /3a.e~
/ I / I I Paid '-rrb~
isA ~ Be mes Your Building Permit When Approved /3t!!..~
.. ~'7-'2~. I Date t,.""7.(J I I By h
fficial Date ..
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '5CE~R A-A
TYPE OF WORK ----1k-k
USE OF BUILDING SFI1
PERMIT NO. () 1- OEk0.) DATE ISSUED ;; -?- ~I
BUILDER rs it \ .J- A V\,^ 1(a.v--b-rj~lP,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FdOTING I I
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I~_\h~ I 7{,Jor
I. ~ v
Call between 8:00 and 9:00 A.M. for atl inspections
FOR ALL INSPECTIONS 447-9850
I FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3031
1du_uJe
OWNER
CONTR.
PHONE NO.
.pr~OTING D 1<-
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
7-//'-0/ III
R,'d~
(j
/--500
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COM&rrt~o\~ h1Ja'1 hp-twe~\I\ "\k~.
lad-i.);') JI)~.f.1-~ a.1- r-a~I~J fO~ witl aef
eV\~ J~rd- ~+WlJ;'^1 ti\keu Tke
"",1/1 c" lea~J- j'
.SJe-
~ORK SATISFACTORY lCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ' "B r(}..,~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!