HomeMy WebLinkAboutBuilding Permit 01-0498
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT .5-
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~Iease tvne or OIint and si2ll at bottom)
ADDRESS
G;'~Nwqrer
LEGAL DESCRIPTION (office use only)
33'S-
1r", ; I
Date Rec' d
I. White File
2_ Pink City
3. Yellow Applicant
fl. o4fLJ
M"rf~f> 5 r
ZONING (office use) I
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LOV 2 BLOCK.y ADDITION C 1 V /V W II r,. r
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OWNER
(Name)
(Address)
BUlLDE~
(Name)kJe ^(rh?~A/N
(Address) 139} 1'1e; 2.....
PID ';?'5-36-;--o'/f/-o
(Phone)
I-J (J m.!'.J'
D ,..; v f f'a '?(l IV
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OLower Level Finish
o New Construction
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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
;te/f ;:o;rtytopr~s / j/ s JY J/ _ / / _ () I
/ // Sigllature Contractor's License No. Date
f/
[ Permit Fee ~ ,,$
[ Plan Check Fee " ~
I State Surcharge ~ ~
I Penalty . ':t
[ Plumbing Permit Fee $
[ Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I GasJ:jlace Permit Fee $
l'frhiS /~~Be sYourBuil . gPermitWhenApproved
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I Bu nate
TYPE OF WORK
o Misc.
o Fireplace
~ 6Q"; . Cd
38. ..,<7
2) ."L-
.5J
(Phone)
{,,(- "Y'06 -"IYoo
/71/'\/
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
I Park Support Fee
[SAC
[ Water Meter
[ Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
[ Builder's Deposit
[ Other
I TOTAL DUE
#
$
$
$
$
$
$
$
$
#
Size 5/8"; 1 ";
#
#
$ ~4-.H
~ I. _
I Recei/t/IJ}. ;jlJl,SV
BY/~
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This is to certify that dIe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mly 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
I Paid
I Date
fI'(-.#
. <:" ?tJr" J
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
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-
,
PRIOR LAKE
INSPECTION
RECORD
SITEADDRESS ~((~....._~.~_.
TYPE OF WORK ~ ~.x+t'",-C;fCA-.
USE OF BUILDING S FPI:-
PERMIT NO. ()). D 4q~ DATE ISSUED ~2t/-~/
BUILDER Wf'~ "_-_ ~t;?-qc.(.-qq60
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
, D,)TE
I FOOTING I ~ J) CVA{~ I {p t( 0 r
PLACE NO CONCRETE UNTIL ABOVE\HAS BEEN SIGNED
~ I I
I FINAL
I "1J ,~ I -:zJ1-1 01
Call between 8:00 and 9:00 A.M. for all Inspections I .
FOR ALL INSPECTIONS 447-9850
I
I
I
"
DATE TIME
,-dl-O) It f
~~hS-- ~-,,,.i~
CONh.! (J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
I ~ INSULATION f) J<:::
t' ~AL /'
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
J
'1
/
j-Ljq )/
o I!XIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION tND PROCEED
o CORRECT WO, ~C \LL FOR REINSPECTION BEFORE COVERING
Inspector: D - ().J))) Owner/Contr:
-(j - -
CALL ...7-98&0 FOR THE Jncr INSPECTION 2. HOURS IN ADVANCE.
;
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SA)"TYI
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