HomeMy WebLinkAboutBldg Permit 02-1180
. 01/08/01 TBU 01:40 FAX 8124474245
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CI~ OF PRIOR LAKE
l.l.l i OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERJ U'ICATE OF ZONING COMPLIANCE
AND tJ .ILIJITY CONNE~ liON PERMIT
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Date Rcc'd
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ADDRESS
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(Phone) q 5;2 -;;96 - 35'/.;)
LEGAL DBSClLt J.ION (oIBcz \ISC 0Dly)
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ZONING (oftkt IIIC)
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(Phone) 35';; - <;{q'(j- 5GO 0
(phone) ( ~c..rn ~ )
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I hereby ~ tbal J UYe ~ Iafonaatioll 0Il1bi, IppIicadOll wIaida is to the bat oIlD)' r".. ., . lie bUC aod _..-.l. I &bo cenity tba! I - die oMY!l' or -.
authorized qeIlt for die abovHII _ .,;,. , as ,'" '1,' .. '. D4 \hat all .. ,... , . J.DIJ will coalbml to II .:":"" I1:IIte IDcl ~ laws allCl will " ' . ... S III acxordaDcc MIb
submitted plalll. J" I.WII'C that 1bc buildiaI oftk:iIl CU . ,I.. dI.iI permit for just Q1&IC.. Funbermarc. I [ ... !" aaree that die city official or · desipee may
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Sipatur'e , CoDlnctOf'I Uceme No. D."
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(Contact Name)
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(Acldreu) 3<tJO
TYPE OF WORK
ON_ColI ". ..1''',
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()porth
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o Mile.
OLower LeYel FiIlish 0 Fireplace OAdditioa OAlllntiOll
pR.OJiC'I'COSTIVALtJE (adudiftl1IDd) S
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~ ? st>V-' Park S\"rr ... Fcc
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. - Watl% Meter Size 5/8"; t";
. Permit Valuation
Permit Fee
Plan Check Fcc
Stare Surcharge
Penalty
Plumbirlg Permit Fee
Mcd1anical Permit Fee
Sewer & Watt:t Permit Pcc
Oal Fireplace Permit Fcc
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Pressure hcluc:er
Sewa'/Wata' Connection 'fee
Water Tower Fcc
Builder's Deposit
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TOTAL DUB
This App1icaIiaD B . . .. .. II Your BuMia& Permit Whea AppIf1ftd
Paid -J (p ,""
Date 4--/'1- d-
BuUdiD& ()ftIdal
Dale
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1lUII is to certify dIat ttIc RqUeIt iD !be ,\loft: appUc:atIaa ud I ~" . '. 'llllIoc:\NDIIIII ia ID Il%GI'CIIDcE wldl the CIrJ ZorIiIlI QrdiDanCIr ud may I' " . . .J u . -. ~,..:L 'Ibis d. .. ,"' I
wbeIlliped by dIr Cky 1'\annet clllll1iMes a tcmpOII.I7 CalifiCate or zoaIpa c:ompIIulcx mcl aIImrJ COlI ,.. , .. . . to eotIlIIICIICC. JcIid ocmpaftCY, I cenIlk:aIIc of 0cl:upUIq lIl\IIC be
btuaL
o.te Specl" (;ondkionS. If any
2. hoar .otiee for alllaspec:tiOlll ~) 447-'1150" fa:lt (~) 447-4245
Pl....inc DiM<<
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
j)..c( 0 S rJ /VI I'll ,.... S ' I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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rI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Vl;f q -)... 7 -6~ner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'ISNOTI