HomeMy WebLinkAboutBldg Permit 02-0343
10/10/01 WED 16:05 FAX 6124474245
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRlPTION(olftce - only) U
LOT /DaLOCK ~ ADDITION eJ~ it.! J~ ,--LA- PID~5 -1(R'7-0a Lf- 0
OWNER
(Name)
N\\~~
(Address)
(Phone) 1ill.- -lfLJ 7 --If) lfl II
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~~)ER.~'(\ ()eclP rn)Y\c.ti/)~jj\A.t;n'QY\
(Contact Name) T~ "'fl-~-- _ . _
(Address) '11 Cf 0 VVl Cl-ln :S~ r.e..rt"~ ~(' ~ yYl f\J
(Phone) Itp3-o<6~ -l~\>()
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TYPE OF WORK.
o Mise_
[J New COIls~ctiOl\
OLower Level PiIIish
[JDeek
Cl Firllplate
(jPOfCh
[JAddition
~~OOfin&
OAllmlitlo
OReoSidiq
[jUlllUy Connection
I hereby certify !bat I bave CumisM4 iAfol'lll&DOll Oft this applicaGoD wblcll is &0 lbc bcsI of my bowie. ~ u4 CQII'CCl. I alSo' ~ thaC 1 am tile owner or
aUrhOrizeiCfftt. for Ute above-mendoned propeny. Md chat aU conmCliop will conform to aJl tx.isQrl1Iblll: and local laws Iftd will proceed ill accordaua: wilh
submiaed lans. I am . , ,. ." . dlar ~ bllildlng olftclal can t\!Voke rhis permk lOr jl1St ell.lfe. Furdt~. I bemIy IV" thlt the ciE)' ofllkill or . deai,nee NY
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"'" . Silmatuft Contra('\'Of'S ....\cense No. Date
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Pennit Valuation
Pennie Fee
I Plan Check Pee
\ Sure Surcharge
I Penalry
I Plumbina Permit Fcc
I-Meeh&ruca1 Permit Fee-
Sewer &: Water Permit Fee
GuFireplace Permit Fee
s
S
$
$
$
$
S
S
;;;SOO.
-?tI. -,s-
PROJ2CT COST IVALt.re (eXCIladiAllUUtl S
I Plft Suppon F~
lSAC
Water Meter Size S/S"j )";
Pressure R.eclUCCt'
Sewer IWater Connection Fee .
Watcrlowerfee
I Builclcr's Ocpo$il
I Other
I TOTAL DOE
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I,,';' S-
1#
..
,.
s
S
$
S
$
S
S
S
s 7~ .00
This Application Beeomes Your BuiJdinll Petlllit WIlen Approwd
Paid '7(" _0(/
Date d - I' - 0 (7-
I RKeiot No.4 / ;;-..,?
By ~-'
Buil<lil18 Offidal
Date
This Is 10 ccnify 111M the flClUesc In lIIc abcM: IpPticaIicIa IIIIcI , .... '1._' .nyl.. ~ IS In accana-c widllIK Cily ZOniIlI (X4InaMt IIIClIIY7 pr0ccc4 II ........ 'I1liA documcnl
wlleft .ISMd by 1M City PIuIncr coniDl\llc' ~ lC11lp1A1)' ClftifiCllt ot Zoftlnl ~mpllaJlce alld aUows cOMwaion lO c " - ... Icr_ omIpUIC)'. 1I CntifiCOlt. or QccuplIlC)' mlPt \Ie
.uucl1.
Plannina Director
Da. Speeill CoftdhiollS, if any
24 bour lIod" 'or .It ""pecd... (;,,i) 447.9150. I.. (952) 441-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
5L((q a/UH4cP/i1dv0
OWNER
CONTR.
PHONE NO.
D FOOTING lit;) '\
D FOUNDATION \V
D FRAMING ,
D INSULATIONep f
~AL 7) ~()
D SITE INSPECTION
PERMIT NO.
~-~'18
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EX/GRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASLINE AIR TST
D
COMMENTS:
r!I~ ~
j WORK SATISFACTORY, PROCEED
I D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ __ _ Owner/Contr.
CALL 447-~t FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
/NSNOTl