HomeMy WebLinkAboutBldg Permit 01-0354
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-. 24---0 I
I PERMIT~03~'
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3, Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK..3 ADDITION
OWNER
(Name)
(Addre&
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WIW/DWS 3~
(Phone)
/JI()1'1 P S ())J MJ/J.s T72- .
(Contact Name) 7lJM ~
(Address) 3717 w,lvoww 000 s::::;-.
TYPE OF WORK
o Misc.
x
/
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone)
(Phone)
o New Construction
~e-ROOfing
OAlteration
o Deck
o Porch
OAddition
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $
-ZOO "3> S-C)~ 9
Contractor's License No.
$
$
$
$
$
$
$
$
Z-, SOD. aD
74: 1S-
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
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This Application Becomes Your Building Permit When Approved
Paid
Date
- -
-/C,.OU
J-,'7 4',,0 J
Building Official
Date
ZONING (office use)
Jel
PID 2-5-/10- 0/7- 0
#
#
#
#
ORe-Siding
OUtility Connection
1-24-0/
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$
$
$
$
$
$
$
$
$7(p.OO
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ReceipiiiB, .3 ~ 3 Cf:l
BY~
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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.
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 a 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 e to perform needed inspections.
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Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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CITY OF PRIOR LAKE
IH8PECOON NOTICE
SCHEDULED
ADDRESS
OWNER
TIME
PHONE NO.
CONTR.
PERMIT NO. ---.t? t... 3&:; 1-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
/"0 SITE INSPECTION /) /) 0 ~:'::INAL
COMMENTS: K.l::~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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)!!a WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector: ;{I-I'l Owner/Contr:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl