HomeMy WebLinkAboutBldg Permit 01-1219
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7&1e-(}PF {}~Al6 8'1 P. v. le/ufol ~ ';i~i~e ~:~ I PERMIT NO. tJ I
3 . Yellow Applicant
(Please type or print and si2Il at bottom)
ADDRESS
/55B7 Ifl ~fIL-/TjI/ D
~V6 Ai W
LEGAL DESCRIPTION (office use only)
LOT 9' BLOCK / ADDITION /St..,/'1 N.o VIew / ~r
OWNER
(Name)
(Address)
(Phone)
BUILDER C' . . I /0 AlA A .L
(Name) HI /YJ rn .e/r I ~. '-JIJ If{ 5/ r-
(Contact Name) J CA.$ 0 AJ
(Address) 31;J . <: 5 u..ffo0 L~ (J) td
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
PID 25- 11/--3- (){)9-o
(Phone)
(Phone) l, I,~-I / O-q /93
- -
J 0 r dcu-J 5"535"' ;;}.-/
ODeck
o Fireplace
o Porch
OAddition
"
~e-ROOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUti1ity Connection
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 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.
~~~~~
.~ ~re
~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
2,500.00
$ 7'1. 7~
$
$ I. Z,S-
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ IO.U--()L
Buiiding Official Date
d /J(JZ)4CJ ~_=?
Contractor's License No.
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid 7&" cJv
I Date ij}-;)./h -I
/0- (?~-t2 I
Date
# $
# $
$
$
# $
# $
$
$
$ '1/'.OtJ
~~!r)'t'01fo3
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
11r:
//9/ ~'1/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/SS-8'7
--'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
//
/~OCJ r
TIME
C!J/-/,2/9
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI