HomeMy WebLinkAboutBldg Permit 03-0762
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CITY OF PRIOR LAKE BUILDING PERMIT, 1Lc .0 8ate Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
NTEREO JUN a
Is\CU1Ct V'ew Rd
I. White File I PERMIT NO ~
2 Pink City . /) '7 - 0 71-
3. Yellow Applicant , LL.....I _11'_
ZONING (office use)
NvJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) t>e..tex
WhCLlli..~
:Is land
(Phone) q~2. ~.., .~Ll2.~
BUILDER
(Name)~LLL~ t~~-
(Address) l1
vJ'
(Address) \ '2-
(Phone)
TYPE OF WORK
o New Construction
ODeck
o Porch
DAddition
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
.DO
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 wiII 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
enter upon the property to perform needed inspections.
x
(p~l ~L{-
Contractor's License No.
OLe/fA l D~
Date
Permit Fee $ ~, '1 r Park Support Fee # $
Plan Check Fee $ SAC # $
-
State Surcharge $ /_ 2,S Water Meter Size 5/8"; 1 ". $
,
Penalty $ Pressure Reducer $
Plumbing Permit Fee $ Sewer/Water Connection Fee # $
Mechanical Permit Fee $ Water Tower Fee # $
Sewer & Water Permit Fee $ Builder's Deposit $
Gas Fireplace Permit Fee $ Other $
This Application Becomes Your Building Permit When Approved TOTAL DUE $ 7&.00
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma oceed 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 Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE "7 ..l. I ~
INSPECTION NOTICE SCHEDULED ~ --
ADDRESS /S-7C'~ :Z;~~d l%~~
OWNER CONTR.
63~7?2.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ /J~ .'~
~ ~./lJe r ~h04
t!'
~WORK SATISFA .
o CORRECT ACTION AND PROCEED
o CORRECT ~':EcnON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOT!