HomeMy WebLinkAboutBldg Permit 01-0826
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
5~~ U_~ C1
I. White File
2. Pink City
3. YeUow Applicant
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LEGAL DESCRll'uON (office use only)
LOT 1 BLOCK ~DDITIONrtJA~ R:(\~(// ~
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OWNER (\
(Name) --.ij tlv'LV\ 1',
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(Address) ~\.(. ~ Ul tic'OtJ'1h'l..w
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
'rjJ..Lower Level Finish
o Misc.
Date Rec' d
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r
ONING (ofliceuse)
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fA liLy
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(phone) t1~ '-4-'4-0
LAJJ ~~ '':)7~
(phone)
(Phone)
o Deck
OPorch
OAddition
ORe-Roofing
OAlteration
1\f1(
ORe-Siding
OUtility Connection
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
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Si~ Contractor's License No. Date
Permit Valuation
o Fireplace
PROJECf COST IV ALUE (excluding land) $
Park Support Fee
#
#
$
$
$
$
$
$
$
$ J.,,;
$ 13Q" 9.5"'"
Permit Fee $
Plan Check Fee $
State Surcharge $
IPffi~ry $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
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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.
Bf]. 2 ~
SAC
Receipt No. l/ 0.3/...3
By ~../
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter
Size 5/8"; I";
Zoo
Pressure Reducer
Sewer/Water Connection Fee
#
ltO.d:)
Water Tower Fee
#
Builder's Deposit
Other
rJr
TOTAL DUE U -
I Paid
I Date
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PRIOR LAKE DEPARTMENT OF
.. . . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5.~ l(?- ~ IJJ." ...... 6f.
NATUREOFWORK L.~ ~'LL-' f~""IIt~,
USE OF BUILDING ~ F'''. '
PERMIT NO. $F- Q.i ;J.-la DATE ISSUED .9 . 2. -~ (,
CONTRACTOR ~ PHONE t/(/t/ff'
NOTE: THIS IS NOT A 7lERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\
.
INSPECTOR
DATE
~G I
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING lc/~ 1/....11- Dj
INSULATION PU~ 11-/1-p)
ELECTRICAL I
PLUMBING f{/~ 1f-11-p)
HEATING (if required) I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
" PLUMBING
HEATING
DO NOT
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OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.b S '-/2.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION / I
J2( FINAL t.-'f v \
o SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED
.!d...-Ic 0 'I
~/;(~IU L--:
CONTR.
PERMIT NO.
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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 GAS LINE AIR TST
o
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I!tWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~L FOR REINSPECTION BEFORE COVERING
Inspector: fY r 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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