HomeMy WebLinkAboutBldg Permit 02-0934
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRi.t'uON (office use only)
ADDITION
OWNER
(Name)
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(Address)
BUILDER
(Name) r F"rb-Il l '('lli-~\
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(Address) C\qaO l\ \ \a... ~-/
(Contact Name)
TYPE OF WORK
o Misc.
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~.:'~ ~:~ I PERMIT NO. A"'J , q'Q I J
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(Phone) .Ji.o~' \~(9m \
(Phone)
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o New Construction
o Deck
ZONING (office use)
PID;yJ-3aJ" (J03-0
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OPorch
(j;;tRe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/VALUE (excluding land) S 8.,n('(). CD
$
$
$
$
$
$
$
$
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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 ~b ve-m entioned property and that all construction will conform to all existing state and local laws and will t'.ww.;.ed m' accordance with
sub d plans. I am a that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;te ': n theprojerty: rformVl~ooJi2L ~ 0 \ ~ Pl ~ 1-. z-q- 0 ~
\ si~a~ Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1iJ.6
I -
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid 7~ 0-:
I Date ~Oa--
# $
# $
$
$
# $
# $
$
$ \
$ 7',. uG.
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This is to certi1Y 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 ..-:---
V'- IO-~,1
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
,::;2- 93tf
o FOOTING
o FOUNDATION
o FRAMING
~ 0 INSULAT~ .c
;;J FINAL {)O,
o SITE INS ECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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(~-\ ~ +' -
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI