HomeMy WebLinkAboutBldg Permit 01-1218
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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J. White File
2. Pink City
3. Yellow Applicant
(Please type or print and SiM at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT5 BLOCK 2- ADDITION GIf!.tfl)/<JV/u..,€ /I-/u....-S
. ~WNER-#-
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(Address) /(0.1(./9 rRIJ/\)J(J.j/J r/)
, .
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc,
~IJ/:)
Date Rec' d
PID 2S-0/~- 0/4-0
, (Phone) -Y-Y1J - ~ /" r
(Phone)
(Phone)
o Deck
. ,
~e-ROOfing
OAlteration
OPorch
o Fireplace
OAddition
PROJECTCOST/VALUE (excluding land) $
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
;~:~~:ff?~ ~o~~'p=it~jmln~. F_=~.l it=by__ tlat~~:~:~"; may
/ ...... , ( Sigt'atu'Y/ Contractor's License No, ---? / Dfte:;
........ -- .! -<::::.",
$ ------
$
I $
I $
1 $
I $
j$
1$
1 $ I~.OO
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
I 2,500.00
1 $
I $
I $
1$
1 $
I $
I $
1$
7c/.7r
-
I. "1,.,-
This Application Becomes Your Building Permit When Approved
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IO-'Uo-t9/
Building Official
Date
l
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
#
#
#
#
ORe-Siding
OUtiIity Connection
I ReceiPt No.
I By
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
I Paid
I Date
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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SCHEDULED I.
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z,.~ 3' 0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-- IZ/P
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}q) FINAL
o SITE INSPECTION
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: R.&J-~.
.
~
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jG WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: - a . Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl