HomeMy WebLinkAboutBldg Permit 01-1003
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bVL<v",)
ADDRESS
~f J /);V 0121'7
5637
I. White File
2. Pink City
3. Yellow Applicant
5'/
LEGAL DESCRIPTION (office use only)
LO~LOCK 3 ADDITION ~//l/nr- &P~ /sr
OWNER
(Name)
(Address)
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TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(Phone)
Lf\k~ L>~ Ile W\IA.)
ODeck o Porch
PROJECT COST IV ALUE (excluding land) $
o Fireplace OAddition
Date Rec' d
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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 ~
enter ~n the property t<y>e
X );/~~~~-1Id .
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
(Phone) &/7. ....lIl{, ~yq 1
(Phone)
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te-ROOfing ORe-Siding
OAlteration OUtility Connection
e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed inspections.
'2/ 5lJ().. (1)
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$ -
$ /.~ ~
$
$
$
$
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This Application Becomes Your Building Permit When Approved
pw.
Building Official
-
-
9- IJ..- OJ
Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
'ltd. (}u
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I
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$
$
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By r" A, .--
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
ADDRESS
DATE TIME
SCHEDULED y;;5-/ ~;trO
.5(13/? (/~/JM:d~<i~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1_ /Co 3
o FOOTING (p)
o FOUNDATION
o FRAMING
o INSULATI~ F
~NAL ()O
o SITE 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:
~~
"-
?ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl