HomeMy WebLinkAboutBldg Permit 01-0997
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ADDRESS
I'I"~~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
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LEGAL DESCRIPTION (office use only) . 11. '
LO~LOCK! ADDITION(~ak1u/YIcL 1.]J(}ufJ ;;2J.A:t
OWNER C L
(Name) <.J'/e.-,)e:.-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Vespdf~
(Phone)
(Phone)
(Phone)
o New Construction
~Re-Roofing
OAlteration
o Deck
o Porch
OAddition
OLower Level Finish
o Fireplace
I
I
PROJECT COST IV ALUE (excluding land) $
I hereby certi
authorized a
submitted pi
enter upon e r
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
Date Rec' d
PERMIT NO. ()/_
PID ;;5-1?:b -() Od-.:o
9'1/- ?9~{)
ORe-Siding
OUtility Connection
application which is to the best of my knowledge true and correct. I also certity that I am the owner or
all construction will conform to all existing state and local laws and will proceed in accordance with
oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
Contractor's License No.
$ '/Lt7'5'
$
$ "d-tJ
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7 ~ .()V
~-/~,...ol
This Application Becomes Your Building Permit When Approved
Building Official
Date
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Date
# $
# $
$
$
# $
# $
$
$
$ '1 ~ ,00
R~ ~d.5{,7
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
DATE TIME
ADDRESS
SCHEDULED /O~dLl-1 ~
J!f~~~ ~~lc/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-~q1
o FOOTING (fJ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIO 0 SEWER HOOKUP
~INAL '~70 0 PLUMBING FINAL
o SITE INSP~~ION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
", .
~~
)f/WORK SATISFACTORY, PROCEED
( 0 CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r ~ ( Owner/Contr:
, j
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl