HomeMy WebLinkAboutBldg Permit 01-0783
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
(Please type or print and siM at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 2- ADDITION /'71 *fl:::;,f.A.-, PO NO
OWNER
(Name)
(Phone)
(Address)
Date Rec' d
7~25~O /
PERMIT NO. 01-0'183
ZONING (office use)
PID 2.5--/55- 009- 0
~~~~R DI? R~rx:k>) ""1-tN C. (Phonel(:;S.z;YN 7- ':?t/7t/
(Contact Name) . ~o.e... M 0 r-f2;AJ cJ (Phone)
(Address) /?7.. 5 CJ h /rbl1N*5'1Fol1111..E~ !l)or ~k.e. M.J ~ 5':s 17--
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,
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing ORe-Siding
OLower Level Finish 0 Fireplace OAddition OAlteration 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
ente~. ~roperty to perform nee~~specti~s. _
xr./ ~'. ~.r~ 7/Z6/0 J
Signature I /
V
~ ':. oU.{/1..J
7c.f.1 r
o Misc.
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
$
$
$
$
$
$
$
$
l '-'~
Water Tower Fee
Mechanical Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
"'7;/, . (f V
"7. '1.r'rJ J
c .
Building Official
Date
#
#
#
#
Date
$
$
$
$
$
$
$
$
$
10.dZJ
Recei~. 4dl7...1
By /1,1/(
I'
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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/ r
ADDRESS ~...sr ,$;f.~e//
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
4 /J
/Cbrt7CJ 1-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~/- ?"r.j
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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\ C;1<:J S -e- // h )
~WOR~~~V.O~~ ~
o CORRECT ACTION AND PROCEED
o CORRECT W~R5.:;~:;tOR REINSPECTION BEFORE COVERING
Inspector: ~ i Owner/Contr:
".-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl