HomeMy WebLinkAboutBldg Permit 02-0481
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bu."u~)
ADDRESS
/5753:; fJ/ ?hla/l)
J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name)
(Address)
A4H ~
ADDITION
I. White File
2. Pink City
3 . Yellow Applicant
f) fr1/e !- C,W/j
/5753 JJt'q.AJv.# ~J
../
Date Rec' d
3-~-()--t:-
'\
I PERMITNO'o~#b48/
.,g'NING (office use)
i~:-
PID Z5 - / 1./-3 - tJ(, S' D
(Phone) 9.1;; -LIt(O -/CJJ7
BUILDER /I /J ~ " '
(Name) /'Trv~ ~OrJ~ c.v.
(Contact Name) (J)J.1/ j t)
(Address) 1'1'10rl/J/e /),e. ft..v. 5.5/~'1
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone) 95,,2 -3 '1/-/ 9/9
(Phone) t).,2. ~tJ1 .711., 7
ODeck
~e-ROOfing
OAlteration
PROJEcr COST IV ALUE (excluding land) $
o Fireplace
OPorch
OAddition
ORe-Siding
OUtility 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
;terup~n~~ections. ~8ott~2~ 7 -!51=jJIJ~
(/Signature Contractor's License No. Date-
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'2 I .s-o 6 .,(}1J
,c../. '1 r
-
-'
,.-z.,..\.
This Application Becomes Your Building Permit When Approved
P )zUJ--
Building Official
S" .." '-d--z."
Date
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
I Builder's Deposit
Other
TOTAL DUE
Paid
Date
; J t,. of)
~ -(p -it--
# $
# $
$
$
# $
# $
$
$
$ ,,- IV
/Lo
7~ 4/7' fI...
Bv
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 t~..."u...ry 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
'SCHEDULED S- / O-~ (t ~
/57~2> tI/41Jfud~
f
CONTR.
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
::; -l/?' )
o FOOTING
o FOUNDATION
o FRAMING
J INSULATION
i:3FINAL
/ J SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Koc>P
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
<::
_A ,.
(I(I~ ~
,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-985~ ~J T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl