HomeMy WebLinkAboutBldg Permit 01-0707
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. ~i~~e ~:;y I PERMIT NO. /7) '-0 H "71
3. Yellow Applicant V I 1(/
(Please type or vrint and siJtl1 at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT'6 BLOCK L{ ADDITION ~frurL(~ ~tJ1J
. -
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
ZONING (office use)
tRJ
PID;).5' - ldl/ - (J3Q-O
(Phone) ~ ! ~ - ') ~ CL.:::J!P t!:J '7')
(Phone)
fA) e., tD S1-e r- fv\ v\.. S"S-08 L
(Phone)
r \e~K
t"_ c V\.s-l-.
~e-Siding
OUtility Connection
OLower Level Finish
o Fireplace
~5-0,Ob
$ 7t/" /?
$ ,
$ I";;;'~
$
$
$
$
$
Park Support Fee
SAC
#
#
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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
exnter up~ the property tDofe~je~dedinspeCtions. r-, 113 '0'
~' L.Y~ \?>~.-~'1002..1;l~<?f/ I'/J II
Signature Contractor's License No. ' Dflte
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
I Paid
I Date
/~ .00 _
/:'/3- ()!
Building Official
Date
$
$
$
$
$
$
$
$
$
'7~.oO
-
Receipt &. '-I 0/ /-..::J
By YJF- ./
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 te"',MW)' 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
..... ....--,-.--..'-...--..... ...... .
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / 4 ~3 I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
f! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIN
o MECH FINAL
COMMENTS: ~
J
DATE TIME
AX
(!)/-7d7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
, "
0h )
./
);(I WORK SATISFACTORY, PROCEED
10' CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: - ~ / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!