HomeMy WebLinkAboutBldg Permit 01-0625
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ADDRESS
16llPL
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CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~ - '2:2..-0 I
L White File
2 Pink City
J. Yellow Applicant
PERMIT NO. 01- ()
Duct- T(2J., NW
LEGAL DES RIPTION (office use only)
LOTI I
'2. ADDITION W IC.D5 3 ~ ADD rJ.
PID
-0
OWNER
(Name)
(Address)
SA
BUILDER
(Name)
(Contact Na
(Address)
o Misc.
(Phone) cr::J't..
l
(Phone)
(Phone)
o New ConsbUction
ORe-Siding
oUtility Connection
oPorch
ORe-Roofing
eck
DLower Level Finish
OAlteration
o Fireplace
oAddition
PROJECT COST IV ALUE (excluding land) $
I hereby certify at 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 consbUction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am awar at ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the ci official or a designee may
enter upon pr pea!o P 0 inspections.
Permit Valuati n
Permit Fee
Plan Check Fe
State Surcharg
0~~.OI
Contractor's License No.
Date
!
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ /38.
I ~;C~98H3
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Building Permit When Approved
I Paid /-iB. ~~
Date . Z -0/
.
(p-zJ.- -1~{
Date
This is to certify th e 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.
Janning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
i
..
P
lOR LAKE
INSPECTION
RECORD
SITE ADDRESS /5/bZ- wooD DU~772.A-I,-/\JvV
TYP OF WORK 2)6et:::-
USE F BUILDING !ebS /fIlE-
PER IT NO. 0/. V (P2-5 DATE ISSUED 10' 2-Z--()/
BUlL ER '13At'LJ/I./ PHONE # qSZ-4-fO-~
NOT : THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
TING
PLACE NO CONCRETE UNTIL ABOV HAS BEEN
_....-.' ::....-
,0 I
Call between 8:00 and 9:00 . for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
/5/tc!..
DATE TIME
SCHEDULED ~!I('~ I At:
uJ~J.~
ADDRESS
CONTR.
PHONE NO.
PERMIT NO. 0/ - ~ e S
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
}lII FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~.
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
J.
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~
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a. no6.
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION ANO PROCEED
o CORR K, CAll FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl