HomeMy WebLinkAboutBldg Permit 01-0854
(Please type or print and siJUl at bottom)
ADDRESS
.3B03
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LOTI7BLOCK
LEGAL DESCRIPTION (office use only)
PERMIT NO'()~8s:7--
, -t(;NfNG (office use)
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1. White File
2. Pink City
3 . Yellow Applicant
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ADDITION GKblilV /-/&/ ~1--f'13
OWNER
(Name)
(Address) .
O~J A.(fE-I
BUILDE
(Name) ~/ ~..,. 'r/flIv1
.
(Contact Name) ..;::t:-.--.. ~
(Address) ,/ ~#f; ':I1-ey
TYPE OF WORK
o Misc.
..?~~
o New Construction
OLower Level Finish
(Phone)
..,4r/'c.-
.
(Phone)
(Phone)
O,/O./C ('~
ODeck
o Porch
~e-ROOfing
OAlteration
Date Rec' d
<0'" 9'-0 /
PID 2.5"-~9::!-OI4- - cJ
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R'-;!3.r - ~ / rJL
ORe-Siding
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
enter upon the property to perform needed inspections.
PROJECT COST /V ALUE (excluding land) $
o Fireplace
OAddition
x
~~~
Signature
I Permit Valuation
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
2,500,DC
$ 74-.7S
$
$ I. z-s
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
!JJJI! 8-t;,a/
'Building Official Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
'ie,. dV
. ~- 9 -(/ /
#
#
#
#
r/rh, /
- Datf '
$
$
$
$
$
$
$
$
$ 7(P .()O
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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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF'FRIOR LAKE
IN~PECTION NOTICE
SCHEDULED
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.
A.71
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
IJ I - rrS-'f
o FOOTING
o FRAMING
o INSULATION
~ FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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)OWORK SATISFACTORY, PROCEED
( 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI