HomeMy WebLinkAboutBuilding Permit 00-0955
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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2 Pink
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File
City
Applicant
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LEGAL DESCRIPTION (office use only)
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LOT BLOCK ADDITION
PID 25-001- 05B - I
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(Phone)
(Address)
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(Phone) f f () -JO (J I
eHl'l/llHnsseAl 563/7- 0000
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/4-80 ~~e.c:::.
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(Address)
~ 0 New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ 2.000
o Misc. fl~ \'>--
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or
I hereby ce
authorized
submitte 1
enter~
X",
"37/2-
Contractor's License No.
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
I Other
I TOTAL DUE
I Permit Fee $ C. '2 . "2.<)
I Plan Check Fee $ q() . '-1(.
I State Surcharge $ I. CO
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
$
$
$
$
$
$
$
$
$ /03.7/
I ReceipM' .3e(D:37
I By AM...-
/
Paid /03.7/
Date /1'). z7.r)n
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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
Planning Director
..
PRIOR LAKE
INSPECTION
RECORD
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TYPE OF WORK F/..e':e; ~...., /r )KA/7 ON
USE OF BUILDING K'.F;.S A/Ae....
PERMIT NO. O~.(jq5S DATE ISSUED /(),Z7{)[)
,.
BUILDER r>~./..s / / /J NC::;;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR DATE
,...<I""............." D EH C; L- I 7'7 () N I "R.Javr I 11 Ilb/oo
PLACE NO CONCRETE UNTIL ABOtE HAS BEEN'SIGNED
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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
SCr':EDULED
DATE TIME
L7_,tC'.OI)
fl ~ t')
ADDRESS
4<a 20 DA K--0 I ,<-l,.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
E)NSULA TION A'IT\
~~INAL ~
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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o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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o WORK SATISFACTORY. PROC
~ CORRECT ACTION AND P
o CORRECT WOR CAL
Inspector:
--
ED
R REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI