HomeMy WebLinkAboutBldg Permit 01-0886
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ADDRESS
+799
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8 -/7-0/
I. White File I PERMIT NO. d7.
2. Pink City
3. Yellow Applicant
fit/a rlA./ CW K-
LOT (p BLOCK
LEGAL DESCRIPTION (office use only)
I ADDITION
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OWNER
(Name)
(Address)
TYPE OF WORK
o Misc.
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(Phone)
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~Re-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 up. o..n tfe prop~ to pu~ee nspe~ons. ~../ ...- /)
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ContraCtor's License No.
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
o Deck
ORe-Roofing
OPorch
OLower Level Finish
o Fireplace
OAlteration
OAddition
PROJECT COST/VALUE (excluding land) $
2.
$
$
$
$
$
$
$
$
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1<-1 - '1 r
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
-
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Building Official Date
I Paid
I Date
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r - 17-(11
# $
# $
$
$
# $
# $
$
$
$ 'It,.efl)
Refte. I" ~4-
By ~
I
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO,
PERMIT 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
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COMMENTS:
/ /,
L.-" '
DATE TIME
_!O-L J/!OO
c"-
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,JI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ff ~ -o~wner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!