HomeMy WebLinkAboutBldg Permit 02-0803
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
J. Y.llow Applicant
.
I PERMIT NOot?ol_ f'()3
.
(Please type or Drint and si2ll at bv.",~)
ADDRESS /7336 fIorizon !fall
Pr/o(" bk~ /J/IV S!:737;)-
ZONING (office use)
Rl
LEGAL DESCRLJ:' lION (office use only)
LOTSBLOCK ~~ADDITION LtA,~...e C;s;/" {l M=i-.
,
.J ..k551G M/faen
J
IIor/ZOh /la/I;
~;~~R SmlClIL ~~.,:me. (phone) 95;;- ~1)3 -r/tJo
(Contact Name) B Jenne, /J1iJ5Se~ (Pftorre)ffl1t- 95) - l./P3 - 960<)
(Address) 30/0 05! L/~ Avenue) 5h;Jk.o~: m/IJ 55379
OWNER fI. I
(Name) --LJ.lfrJn
(Address) /733(,
TYPE OF WORK.
o New Construction
DLower Level Finish
PID a 5" " ~9 t</ .. 0 39-~)
#1 '0, i1k
(Phone) 9 5~ - f/t/7. j1,(~
.!J::J:5 7;;
/lJ/lJ
ODed:
OPorch
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ /l1A
o Misc.
~e-Siding
DUtility 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
- enteru7-c;1(~inspections. 8e.. 725/ 1J7-~2--02-
\-- '-.siVl:ltnrp ~ Contractor's License No. Date
Permit Valuation :;;;l o6b~
Permit Fee $ -;4,75"
Plan Check Fee $
State Surcharge $ t_Q5
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ ~)
.7~.
Receipt No. t{ oI.:s7~
~
By
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. .
WaterMeter 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
I Paid ~'7~' .~-
I Date -J- :;2- ~
#
#
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOl'lCE
~
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1lI FINAL
10 SITE INSPECTION
COMMENTS:
"
':?
SCHEDULED 7-;;~~/
~Tr /f-T/
CONTR.
a+?CJ3
/r;B3j,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'1f~idtv
....A ,..-
(lj~ ~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
!1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO " CALL FOR REINSPECTION BEFORE COVERING
.~~
Inspector: .- 7 J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-.......
INSNOTI