HomeMy WebLinkAboutBldg Permit 01-1160
10/10/01 WED 16:05 FAX 6124474~45
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CITY OF PRIOR LAKE BUILDING PERMITt
TEMfORAilY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I Wtrifr Pi Te-
l. 1'llI~ CII1
1 y.llow Appli...1
PERMIT NO.O /-1/ W
(PI<<se ~ or orint me! sio at bottom)
ADDRESS
\lDt.l L\- ?CLrtvi iLU D, .S~.
LEGAL DESCRlPnON (omce ~ ollly)
LOT JiBLOCK tj ADDITION (burl / ~ fA ~
~~~R 7>mrvtOh Q 0 .l6Y\()~cts-
, (Address) ~0J'v\l.- '(1<;' Ov~O UQ..
BUILDER \ n n .
(Name) ....)6 "'n ,QclQxSOY\ C-D\'l&t'fu..tf10 (\ . (Phone)
(Contact Name) 1\ (\~ \.~ OW (phone)
(Address) ,lq 0 vY\o..:.l '" ~U--t-\..\~ ,'Fnd...\..aA-\, ~k)
TYPE OF WORK
o Mise.
o N_ Canslnlctian
OLower Level Finish
A idCf----
ZONING loflkeUtt)
,OL-lO
PID ;J5~)IL- ()5-r;-C)
qf")'Z- 44-7'-/S5X
(Phone)
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llo3-68'(P-l R'm
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5$ tt ~ 'L...
DOeck
OPOICb
~~linl
OAltultiOa
(J Fireplace
{JAddition
o R.e..sidift&
nUlllity Connection
PRDJEcrCOSTIVALUE (txc:ludinel-"d) S
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S
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IS
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I hereby certify that I hIVe furnished iAfotIMlioa on this applicalion whldi il so die beSt 0111I)' laIowlcdac trUe a.oll Comla. I 11I0 ccnify thaC 1 alft die OWller or
~uthori%Cd ~&enl for rhe above-mentioned property and that aU constnlction will confonn to &II ellisMg Slllle and lacall.wi me! will proceed in accordaucc wirh
submitred plans. r am .~~ ~bUlldlng atrlci." can I'l'vo~... oM ".,... .. i"" ".... """'."..., I .....,. ."" .... ... "'" olIId. M' ...- "'"
:~,u~~~ ~ ~iftspeCd:--_ ~O~ lkiPJ lfJ 101 " Jill
_ . Sl~~ COftttatWT'S Licet\$1! No. D~e r
Pmnit Valuation
Pennir Fee
I Plan Check Fee
\ Sure Surcharge
I PenallY
I Plumbina Permit Fee
I-MeChaJuca1 Permit Fee-
l Sewer & Water Pennit Fee
I Ga5 Fireplace Permit Fee
This Application Becomes Yout Buildin& Penn it When Approved
Building Official
Date
Park Suppon Fee
SAC
#
##-
Water Meter Size 5/S"i I";
Pressure Reducer
stwer/W1W' ConnecnOft Fee. ##-
Water Tower Fee #
I Builder's Deposit
rather
I TOTAL DO"!
I paiJ"<r~ v;)
I Date I /0' (5'-D..J-
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S
$
$
$
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s lre.au
Receipt No.
Bv ~
This Is 10 ea1lb IlIat lIle requesc In Ihc a~ app\lc:alloa and KComp;anY;n. IlOC\Imetlcs If In KConIulcc wllb lilt City 2:OMl1 OI'cIi_ ancl -1 , .' . . . . j AI NqIIa. Thi.a doauncnt
wll,n slll1lt4 by 1M City PI.uIntf consliNlCl ~ tmlpmry CC(tiIjQIt 0' :ZOnlne <<ImpU&Ilct &lId allows COllSWc:UOIl III ClI",fI1tI\Ce. lerlllr lX'CUpancy. ill Certificate or Occupancy mull lit
DIIStc!..
Plannina Diree\or
Dale Speeill Condltiolls.. if any
24 laoar notice for _It 'Mpection. ("2) 447-9850, fax (952) ....7-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEVULED 1/- /1.:,-0/
ADDRESS ! 6~ 7i.( fJ~u~
OWNER CONTR.
PHONE NO.
PERMIT NO.
j- //00
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~C)~
U
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION @J
o FRAMING
~~LATION
~~~L
o SITE INSPECTION
~~~
lI1WORK SATISFACTORY, PROCEED
(0- CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
3:
Inspector: /' ~ Owner/Contr:
CALL 447-9850 F~R HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI