HomeMy WebLinkAboutBldg Permit 01-0903
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
I. White File
2. Pink City
3 . Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION LFJ.e6S/06 ~t:NS 2.!1l?
OWNER
(Name)
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, (Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
...
~e-ROOfing
OAlteration
o New Construction
ODeck
OPorch
o Lower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
"21,21)0 _00
$ , 74. 75
$ .
$ /. z..~
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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Building Official Date
I Paid
Date
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~-77-0 -'
Date Rec' d
ONING (office use)
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PID 2...&:)-112-- 001-0
#
#
#
#
ORe-Siding
OUtility Connection
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t Date - ./
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$
$
$
$
$
$
$
$
$ '/fc;.tlO
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By /,V__
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.
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 uMn the property to perform needed inspe~ns.
X ~ ~ /1'...q~
. (Si~:...- ') - {
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSP'ECTION NOTICE
DATE TIME
SCHEDULED 9- ('7.5' -/ )A- r
Lid-C)/:> ~~ .sf-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{ - ~'o3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~/Jt.J r
FINAL c-~
~ITE INSP CTION
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:
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~
~
+1:
i ~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~L 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 & SAFETYl
INSNorl