HomeMy WebLinkAboutBldg Permit 01-1117
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'I
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT] BLOCK k-- ADDITION Jph d
'i ~=e~R 11-/2 tUl ~
. (Address) / 1--/ ..5~ LfK
1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
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ZONING (office use)
PID d. S- - rJ-/ ;-. / OLJ-{J
(Phone) 1"5 :;; - 'I'I..:S- -0 <f ao
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Sf6d~t L./t/
'I BUILDER - J I;;. 1 ;
(Name) ~ M S ~ E12 f<!-,J
,
(Contact Name) -R ?') ~ 1-. c:: ~
(Address) /2> (( / J/Hl) 13 tI A? .1/1/ ,-sl .
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TYPE OF WORK
j
o New Construction
o Misc.
OLower Level Finish
c;5r; S'd,
.
PROJECTCOST/VALUE (exc1udingland) S
~J ~-CX?~
7'1. 7C:;-
I . 2. c.;-
(Phone) '1-s -::t -L/ c:y ,6 - / ~-5 Z /
(Phone) t", -~ - Lf cr~- cJ 'I- V /
,-<;~Akcri:JZ'L / ~JJ
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DDeck
~e-ROOfing
OAlteration
ORe-Siding
OUtility Connection
-..3 O~ 0----
#
#
#
#
Date
I $
I $
1$
I $
I $
I $
IS
I $
1$
7'.0 C)
Rece~\'t No. q(}.l~G,8
By fI^.
Date Special Conditions, jf any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
o Porch
o Fireplace
OAddition
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 age 0 the above-mentioned prop and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi s. am aware that the build' 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo n;?'oYfrty to perform neede ons.
X Z~t Cd ~c; //J ~2) <6 - eJ I
/ ,?" . si~re
I
1$
I $
1$
1$
I $
I $
I $
I $
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 Ga~ce Permit Fee
/ A /
( Th' Be~g Permit When Approved
~ 10-'8,6/
uilding of cia I Date
'Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
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 {{)-S\ -0,
\.
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 TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
1454~
SHORE
01-1117
Re-Roof
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
L..I . __..._
GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
CLC5= PIL=
'\\;hc. rc.lc.l.:>UII, Ou;IJ;f1~ III.:>pt:.,,-lur'
Ul:.L.
2 200J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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 de SAFETYI
INSNOTI