HomeMy WebLinkAboutBuilding Permit 05-0788
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
J > IS-. OJ
t~;t E'.icInI I PERMIT NO. {)s-, {! 7 rl
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frj6{" ~,MAl %371.-1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDmON
OWNER
(Name)
(Address) \1.\
(Phone) [9?),2 ")lQ1D-':)9G.g
~ (vtJJ SS5 ~
BUILDER
(N ame)
(Contact Name)
(Address)
(phone)
(phone)
OAddition
ORe-Roofing
OAlteration
ORe-Siding
TYPE OF WORK
o New ConstnJdion
~Level Finish
ODed
OPorch
o Fireplace
OUtility Connection
PROrncr COST/VALUE (excluding land) S
o Misc.
1 hereby certify that 1 have (umished information on this application which is to the best of my kIlowledF tnJe and cona:t- I also certify that 1 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
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SigPalU.fC: Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $ --
State Surcharge $ 0
Penalty $
plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; 1"; $
Pressure Reducer S
City SAC and WAC # $
Water Tower Fee # S
Builder's Deposit $
Other $
TOTAL DUE $ 85 . 2..-S-
This Application Becomes Your Building permit When Approved
~~
Building Official
rf s /O~
Date
This is to cmify that the request in me above applicatiOO aud accompanying documents is in accordance with the City Zoning ()rdiIJaJJtt aud may proceed as requested. This document
when signed by the City Planner cons6tute5 a teIDJlORfY Certificate of Zoning compliance and allows constIUction 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, fu (952) 447-4245
1~"'lV'\ C........1.... r"_........I.. A........_.._ ~....- T ....lr_ ..A....t CiC:'''''''''
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1~9', ~c.tt:. CA.//. 'J. /J.G.
NATURE OF WORK · .
USE OF BUILDING ·
PERMIT NO. ~~ ISSUED ,
CONTRACTOR PH N ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
&-Z'Z~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
./
( ---s /0]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE. . .
This. card must be posted near an electrical serVice cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850