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HomeMy WebLinkAboutBldg Permit 02-0678 Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si2l1 at bottom) ADDRESS .j1 / I/dtJCJ :1t~ IJI 4/7 ~U- ..-' ,-- LEGAL DESCRIPTION (office use only) I. White File 2. Pink City 3. Yenow Applicant I PERMIT NO. O~- b 771 ~q~P(JLid{t r!lt.V/) R r=L ~=R t/)/k-, /U 71ttut;f-N (Address) Ih3dl1/JnJ/~ tJI LOT /0 BLOCK ~ ADDITION OLower Level Finish o Misc. tJ1/lf 8th; o Fireplace (Phone) -~ (Phone) (Phone) n,,u Sfd6 j o Porch ORe-Roofing OAlteration ZONING (office use) Rl PID::)S-- 161- O/f'-o 9(,). -#7 --th/9J ?6.-? ,39/-.1(/ L/ , jd"Re-Siding OUtility Connection PROJECfCOSTIVALUE (excluding land) S 13 h~-~ , OAddition 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 submitted plans. I am aware that e building official can revoke this permit for just cause. . Furth. ermore, I hereby agree that the city offi1.0j deSigne.e may ;terupon the property to perfo . eded~Z' /iC -df J7 (;; IV/OJ- / gnature Contractor's License No. I ~te , BUILDEIL-..t=1,. \ r, ~ / /l (Name) , //;AJ bf'JPrA../ JLA:.-- (Contact Name) S'. 77l U~.j (Address) ~/lJ~P> iJ.uu ~;3/yd(p& /)J~ J7 vi. / TYPE OF WORK. 0 New Construction ODeck 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 $ $ $ $ $ $ $ $ ;).,~OOl}(:J tt{/75 bd.-5 This Application Becomes Your Building Permit When Approved Building Official Date Park Support Fee SAC I WaterMeter Size5/S"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit lather I TOTAL DUE Paid Date /70 </(k'; - h/~/CJo- I ( # # # # $ $ $ $ $ $ $ $ $ . ~ '7~ /v'-' Receipt No. t-IrlJ .c;"'~ By r 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 k.u"u...ry 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 .", "'I ~TE nME " IU~/,L A ./ ---. -.::: ADDRESS I (, ~C/l) Fr(Ntb11A. Lr_ PHONE NO. CONTR. PERMIT NO. -.OJ... - C 7 J'" OWNER o FOOTING o FOUNDATION o FRAMING o INSULA TIO~'d J6 FINAL ~ I ,''''1t1\ o SITE INSPECTION ...) COMMENTS: (i ... ~ 'b o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ,If WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING Inspector: Jf'{'( {O -~ 1.r OJ- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl