HomeMy WebLinkAboutBldg Permit 01-0784
(Please type or vrint and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/,25--0/
I. White File I PERMIT NO I
2. Pink City . 0/-07 aA -
J. Yellow Applicant ~
/~08/ K/l,ObbIC
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ZADDITION ~/N~ etOGG Vo
OWNER
(Name)
(Address)
ZONING (office use)
PIDZS<302..- tJ/()- 0
(Phone)
BUILDER r?# /). / 7" ~
(Name) /-'/\ /~,/V1p- r:J-e h ,/1,1, J).N C (Phone)
(Contact Name) Jo.e..-.jl/} o.rl~P/ d (Phone)
(Address) J~Z3~ hJfbCl/llJ<> 1;oll/Yf /l/or ltrlceA /I1A! r53 I L--
TYPE OF WORK
o Misc.
o New Construction
I
~e-ROOfing
DAlteration
~e-Siding
DUtiIity 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
su~~~. I am aware that the building Offi. cial. can revoke this permit for just cause. Furthermore, I hereby agree that the city Official.'" _ =Y
;~onJ~=;z:;,/ 7/7,?/{)}
Signature Y Contractor's License No. 'Date
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
ODeck
o Fireplace
OPorch
DLower Level Finish
DAddition
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
L}ou.OO
14. 1 c:-
Park Support Fee
SAC
#
#
--
I. 'l.-~
Water Meter Size 5/8"; 1";
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
-
'l (, ,lfV
"7, , r-~~ I
, .
Building Official
Date
$
$
$
$
$
$
$
$
$
1" .() l)
..
R.eceif!.l!#. 4-1J 177
By /!.VA _ '"
1/ -
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.
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
INSPECTION NOTICE
16081
KILDEER
01-0784
Re-Roof
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
(b.(l5!: FIb.=
,lj,ike Peterson, Building Inspector
O[e ~ lQnl
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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