HomeMy WebLinkAboutBldg Permit 01-0138
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3- 5 -0 I
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Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
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ONING (~fficeuse)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION 51-
PID
I OWNER
(Name)
(Address)
ILDER .L
(Name) (' ~'^- ~> I .
(Address) '1d/d ~eYl
(Phone)
(Phone) 7>)- - '10.3 - ')/IJD
.> ivJ< tJ e e.. IttU ~771
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Misc.
OAddition
OUtility Connection
OAlteration
PROJECT COST /V ALUE (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 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
enter upon the property to perform needed inspections.
x
Permit Fee $ '14.7S"
Plan Check Fee $
State Surcharge $ 1.25
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 n. $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7b.() 0
or,s-'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may 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
ADDRESS
1'I'(q~
DATE TIME
SCHEDULED ~I !{)/Se;
~~~'
CONTR.
CITY OF PRIOR LAKE
INSPECtiON NOTICE
OWNER
PHONE NO.
PERMIT NO.
()/ - /..3~
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ISal FINAL
ti SITE INSPECTION
~ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"pectoco ~I Owoe,/Coo"'
CALL 447.9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI