HomeMy WebLinkAboutBldg Permit 01-0679
(Please type or print and sign at bottom)
ADDRESS
/~/70
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT J' BLOCK 3 ADDITION S~O ~ /
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
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o New Construction
o Deck
1. White File
2, Pink City
3 , Yellow Applicant
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3 ,fZO
(Phone)
(Phone)
(Phone)
o Porch
'9f-e-ROOfing
OAlteration
Date Rec' d
7- 9-0 /
PERMIT NO.tJ/pr;'?q
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PID 2.5" Z-IJ- --tJ 2-9"'" 0
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ORe-Siding
OUtiIity 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 m aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter up ro rty to perfo ed;;;~fe7-
I
I Permit V a~o/tion
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
Z, S-OO.O 0
$ ic./.1 J
$
$ I.~r-
$
$
$
$
$
This Applica I Becomes Your Building Permit When Approved
7. q. () J
Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
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'7. ~. 0 I
I
7-9~/'J (
(15a;:-j
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# $
# $
$
$
# $
# $
$
$
$ rJc'.oO
I
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This is to c . 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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE ... / /y
INSPECTION NOTICE SCHEDULED 409' /tJ~
ADDRESS /~/ 70 /ZLr~d'/ e-l-~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
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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 GASLINE AIR TST
o
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~J~ FO~ REINSPECTION BEFORE COVERING
Inspector: ~r--- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~ "1-
INSNOTI