HomeMy WebLinkAboutBldg Permit 02-0854
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CITY OF PRIOR LAKE BUILDING PERMft',-"
TEMPORARY CERlulCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO If
2. Pink City .01- n r. .
3. Yellow Applicant ~ 1I <J
(Please type or print and silm at tu.~..1)
ADDRESS
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ZONING (officei:Je)
PU{)
~J9.01'.
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LEGAL DESCRLt'uON (office use only) r
LOTfJ ~~K. I ADDmON S evna. jJbVYii:-
OWNER
(Name)
6;'- Uc-
PID
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(Phone) rB ~- %-74Q.;i
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(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) ilt>?>-i55 -~Q~I
(Phone) itd?J-15S -75390
Cedar Valley Exteriors. Inc.
9920 Zilla Street
eeG" Rapids, MN S543S
-
~-Siding
ORe-Roofing
OPorch
o Deck
TYPE OF WORK
o New Construction
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/VALUE (excluding land) $ o~15~
,
OLower Level Finish
o Misc.
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
submitte ans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:terup epropertytopel'.ii~ c2C)\,1~8Q ,-,3-02-
( Signature () Contractor's License No. Date
..
# '$
# $
$
$
# $
# $
$
$
$ 7 "r O:;!-
Receipt No. I-i~ - u'&
Bv r:- (' A
()
I Park Support Fee
I SAC
I WaterMeter SizeS/S"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTALDUE
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
QJ5etJ:--
$ '1'1- 75
$
$ /'d.-S-
$
$
$
$
$
/ ~~
I Paid 'tV:> --
I Date1-1j -{1'rt-
This Application Becomes Your Building Permit When Approved
Date
Building Official
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.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
DATE TIME
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o ~uf.'. ll-t. (' 'T"
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CITY Of PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
COM;~ I ~ Q
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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..
INSliOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!