HomeMy WebLinkAboutBuilding Permit 00-0948
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2. Pink
3. Yellow
File
City
Applicant
(Please'!ype or orint and sign at bottom)
ADDRESS
J 5 /} fl 3 - l/) es-l-- II- uc,
LEGAL DESCRIPTION (office use only)
LOT II BLOCK f d..ADDITION
p 6; * bea-u-+1-F~1
PID ~- /')/f I-oog-()
OWNER
(Name)
~
. lA-ill
B/.d/II-R.j
(Address) 1.<'7 5? ~
,,) AUr
...-t
(Phone)
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1,/.1..). -/), It.. 'L
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BUILDER () L I
(Name) 't'~u- S
(Address) 7.1), 5 iU
I!od; n Cl.
V
.~3(')~ .5t
Ad/"
(Phone) 49;l-0'i<l1
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TYPE OF WORK
o New Construction
ODeck
OPorch
1llRe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
[]Addition
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $
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 fOJ[ just cause. Furthermore, I hereby agree that the city official or a designee may
exnter u~ the pro~erty 'll:~o; needed inspections.
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Signature Contractor's License No. Dare
Permit Fee $ 1JJ.f~ 1!S'
Plan Check Fee $
State Surcharge $ I, ,'J~
Penalty $
Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Pressure Reducer
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; 1";
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
TOTAL DUE
$ '7b.60
Receim N.>L~~ i,,3CJ
Bv tJ' ./
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.
Building Official
Date
Paid
Date
'7k.. -
/D~~-eX,J
Planning Director
Date Special Conditions, if any
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
-------
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/~J;(dI
OWNER
157l:!3
WEST
00-0948
Re-Roof
ADDRESS
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"...a-FfNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lo~ C~~'~k
,
}3'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w~r;/; 'tfL FOR REINSPECTION BEFORE COVERING
Inspector: j/t/t/j/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
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