HomeMy WebLinkAboutBuilding Permit 01-0208
-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
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19-1. '.
'P,q~ rtv 6
LOT 7 BLOCK
LEGAL DESCRIPTION (office use ooly)
Date Rec'd
.3- 2(,-0/
1. White
2. Pink
3, Yellow
File
City
Applicant
ADDITION L-AK6S/IJt5' ~~r-
OWNER
(Name)
.sA~
(Address)
PID 25 -o9b-OtJ3-j
(Phone)
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'''BUlLDER
((Name) 't-hk-re.Sf /I",,r,u {"" :DJc....
~AddreS~ 0, --goX' Y"S(o KIO:"
(Phone) 5ls. z - 8'? Z -7<0(0 ~
~ Mu ~$<'l?_
-TYPE OF WORK 0 New Construction ODeck
~ower Level Finish 0 Fireplace
o Misc.
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/
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
mation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
above-m one roperty and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
aware t the buih ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
7pe onn needed i ~spections. J -2 r -0 (
V- <. Signature /'~ Contractor's License No. Date
x
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
1 Plumbing Permit Fee
1 Mechanical Permit Fee
1 Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
1$
1$
1$
$
$
$
$
$
7cf.7<:
1.,0
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'-to.or)
40.00
Your Building Permit When Approved
~/2~
OAlteration
PROJECT COST IV ALUE (excluding land) $
1 Park Support Fee
1 SAC
1 Water Meter
I Pressure Reducer
I Sewer IW ater Connection Fee
I Water Tower Fee
1 Builder's Deposit
1 Other
I TOTAL DUE
#
#
Size 5/8"; 1";
#
#
$
$
$
$
$
$
$
$
$ /5(,. zs-
I ReceiWC.3rtii3lr
Bv A
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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
Date
CI"Iu.e:.D
3.-z,'1-01
I Paid /~~
I Date .3 - z'1.tJ I
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CA TE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
{ t;> ?;l/o
p~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tOl-Ed08"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
d FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXlGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
~ r
5 M~~~9(}-/~
( d. f
COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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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