HomeMy WebLinkAboutBuilding Permit 00-0955
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
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LOT BLOCK ADDITION
.
(Address)
Date Rec'd
White File
Pink City
Yellow Applicant
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JjJ(!., .
(Address)
/ 4-80 ~/~heK::-
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D New Construction
DDeck
D Misc. fh... \>
DLower Level Finish
. _ ~\l)"':r-
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I hereby c
authorize
submitte
:ter~
-..
D Fireplace
PID 25-001- 058 - 1
(Phone)
(Phone)
110 -J()Q I
55317- 0000
tJHl"J/I//P"1S s eN'
DPorch
DRe~Roofing
DRe~Siding
DAddition
DAlteration
DUtility Connection
PROJECT COST /V ALUE (excluding land) $ .2.000
that I have furnished information on this application which is to the best of my knowledge true and correct. J also certifY that I am the owner or
eot for the ab mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
I os. I am a e t at "ldin fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
property perfo eede in ns.
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
C. '2 . '2. c)
qo . &.Ie,.
I. ro
"3 7 / 7~
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; Il';
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$/0:3.7/
I Receip. :=e,(D37
By .A~
F
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
Paid /03.'7 J
Date /i'J. 'L 7, r)n
Date Special Conditions, if any
24 hour notice for all inspections (952) 447~9850. fax (952) 447~4245
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4~/~ r4~Z-O) VAYo//7 ~ / .
TYPE OF WORK F/~ ~~ ON
USE OF BUILDING R.~s Ai'~
PERMIT NO, Of). ()CJ5S DATE ISSUED /0.2 7,oD
,
BUILDER ~S77 /) NC:;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
- :_::-':':..:
INSPECTOR DATE
D &1 ~ '- I II tJ AI I .-g.Jtl4 I 1I lIb/or}
PLACE NO CONCRETE UNTIL ABOl'E HAS BEEN SIGNED
I I
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,
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, FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCI':EDULED
ADDRESS
4<020 DA K-u I ,L-\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
E)NSULATION Hr5\
~~INAL '4J.'Y
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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&tk...v ,,35 ~
-t.J:i:J ~ p-,
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DATE TIME
l2.-(<;'".Qo P ~.t7)
0- q 55
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROC
fi. CORRECT ACTION AND P
o CORRECT WOR CALL
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!