HomeMy WebLinkAboutBldg Permit 01-1031
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY €ERTIFICA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
71f/S' t!t"..M{lAWN LA.
LEGAL DESCRIPTION (office use only)
LOT 3LOCK7
,
1. White File
2. Pink City
3 . Yellow Applicant
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ADDITION
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OWNER ':7.... _
(Name) (;i1VrIJ
(Address) 41'/~
?J3:rE/15, ,W
t OA t!-J/ /1'VtlJ
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LA
BUILDER
(Name)
(Contact Name)
(Address)
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E-X'Tc IZ ''''I2..t. .
. (Phone)(9,.f"z-) ff /-- Z- 21 S-
tUL- (Phone) (2,11-) 3ZS"-Z2 (J "7
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TYPE OF WORK
o New Construction
OLower Level Finish
PERMIT NO. q-Io 3 /
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PID
Zr:;-lE4-09 --0
(Phone) ( 9g-z.) //~ 7 -~I/d y'
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C.It"/rL
6LutJ~ c~rV
<;, 4.~7
ODeck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
OAlteration
o Misc.
~e-Siding
DUtility 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
;ter~~neededinSpeCtions. ;20,;260 K-3'L-. 9)9/0 I
r -. Signature Contractor's License No. Date
'"2- -S- <.X) . --
74-- 2. ")
6-.
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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 $
/lrt; --.' /
ThBfIJ 0=. YOWB-"P;~OO
I Buildi O~ "\ I Dlte
~
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 -;;Ji ~,i~
I Date _
# . $
# $
$
$
# $
# $
$
$
-
$ 7~..
Receipt No. ~
By .1f..LJ *
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
DATE TIME
10 .:J-O I
fJ..T..
ADDRESS
4f 4-s:- tYJ~/ffJ LN.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
FINAL
~ SITE INSPECTI N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/- /03./
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;Xo GAS LINE AIR TST
05101/\/61
/
~ WORK SATISFACTORY, PROCEED
G; CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl