HomeMy WebLinkAboutBldg Permit 02-0229
I PERMIT NO.OZ-OZZ-9
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ZONING (office use)
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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 or 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 a are th e ou ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the perfo eede inspections. ~
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Contractor's License No. , Date .I
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sism at bottom)
ADDRESS
I. White File
2. Pink City
3 . Yellow Applicant
I ~ 82-4-
L-Y~jJf HVb.
LEGAL DESCRIPTION (office use only)
LOT I SBLOCK & ADDITION
P.eI tl te- so l/T7-j
...--....
(OWNER
((Name)
(Address)
"-
(); r ( )c C 41Rlar
rG<iZY (YO~.5 It~
_ (Phone)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
. I
)(Re-ROOfing
DAlteration
o New Construction
o Deck
o Porch
DLower Level Finish
o Fireplace
DAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
I Permit Valuation
I Permit Fee
Plan Check Fee
Park Support Fee
2/S-(J()~ OV
7o/.7J
#
$
$
1$
I $
I $
IS
I $
IS
SAC
#
I WaterMeter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
#
State Surcharge
1..vJ
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Water Tower Fee
#
Builder's Deposit
Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
'76.0--0
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. Receit#~
By AffA
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Building Official
Date
Date Rec' d
3-/3-f)'L
PID zS-O/7- /?/-o
P)"Z - 22'0- ?9~6
ORe-Siding
DUtiIity Connection
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4-130 0
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 I
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 inspectipns (952) 447-9850, x (952) 447-4245
16200 Eagle Creek A~ F. :.....;... , N 55372
DATE TIME
"ITV OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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.
ADDRESS
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'l1\ FINAL
fer SITE INSPECTION
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
COMMENTS:
~.
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(i~
-
-~.
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector: I ~ Owner/Contr:
CALL 447-9850 FO~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS/'lOTl
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