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HomeMy WebLinkAboutBldg Permit 03-1256 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d I. White File 2. Pink City 3. Yellow Applicant I PERMIT NO. tJ 3 -t;254 (Please type or print and sign at bottom) ADDRESS /(P f~ 7 81:nd ~7/e 5_ E; ZONING (office use) LEGAL DESCRIPTION (office use only) ,() LOT g BLOCK 5ADDITION ,~~ PID;;;5-011- octo-C) OWNER (Name) w4- &,u-t/~ (Phone) <to:;' W7-/7~ (Address) (Address) ~ ~ ~ 1/_1' " ~ 'JLU J~ T/~LtIUv0XJ[I7jY' ~ABC Seam leSE 355 21 st Street Newport, MN 55(\J;~ u.-~l V I AI /, rill" (Phone) 'IJ 6/ 1 fj B'uK 'f''f BUILDER (Name) DLower Level Finish o Fireplace OAddition OAlteration ORe~tng ')5b~ DUtility Connection TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing o Mise, 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 d that all construction will conform to all existing state and local laws and will proceed in accordance with submitted P~;~ilr am aware that the building 0 al can revoke this permit for just cause, Furthermore, I hereby agree that the City offiCial or a deSignee may enteru~on/};;;?Z ed 'n cti ns. 1'770 9 _ /1-113 r /. S,,,,,.rure ~a) CMtr"'~', Li=" No. DM< ~/ - I~ I Permit Fee $ r -:ff:f .,. 7/.{ I!: . I Park Support Fee # $ I Plan Check Fee $ I . C)~ I SAC # $ I State Surcharge $ I Water Meter Size 5/8"; I"; $ I Penalty $ I Pressure Reducer $ Plumbing Permit Fee $ I Sewer/Water Connection Fee # $ Mechanical Permit Fee $ I Water Tower Fee # $ Sewer & Water Permit Fee $ I Builder's Deposit $ I Gas Fireplace Permit Fee $ I Other $ $ 7&.--- This Application Becomes Your Building Permit When Approved TOTAL DUE I Paid IftJ,-- ReceiptNoL/~ ~/r? q Building Official Date I Date 1- ~-:2> By &1.- ( I . /J This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m~roceed 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 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME <-i'A~5'- /t;?b7 /?~~ c-/ ~/e . ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...e-FINAL o SITE INSPECTION COMMENTS: /J ,,/ /ce~,de SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL til -Os-( o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ./? I / Co~;4 I e r-e " ~ ~---", /0;'s-e 4~--) '- \ ~ X 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/ lNSNon