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HomeMy WebLinkAboutBuilding Permit 11-0183 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 'j" /( / ADDRESS //(Q SO t"-- / T — 6 OWN ER CONTR. PHONE NO. PERMIT NO. (� — l CL3 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ E INSPECTION ❑ MECH FINAL ❑ COMMENTS: L 4, C, 6, __)-L 1 :,- L WORK SATISFACTORY, PROCEED / 0 CORRE CTION AND PROCEED ❑ COR 0 4 CALL FOR REINSPECTION BEFORE COVERING Inspect. Owner /Contr: CAL • • KOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI of PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 z e / / AND UTILITY CONNECTION PERMIT A'�A'NESO I. white File PERMIT NO . / 8 2 3 pink Ap // - J 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 71-)bci\ 5,A, Se-t— l'rtA t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER a i r (Name) 1)) Gi . r e. LY h 0) (Phone) (Address) BUILDER n (Company Name) Per-P.9r YrpH c-P G ©r s f r1/4)67( :on (Phone) CC5 2— .2Q 50' (Contact Name) To"` AIIP (Phone) (Address) b j) V' e leov►•'_ _4 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing . ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration DUtility Connection I , 1/ f 20 CODE: ❑I.R.C. ❑I.B.C. 1^ ( Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 submitted plans. I am aware that the building official can revoke this permit for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections. X .193 HS77 - 7 3 11 / Signature Contractor's License No. Date Permit Valuation '2-5-00s Park Support Fee # $ Permit Fee $ 14 7 5 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ L , Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee I $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 161 1 s This Application Becomes Your Building Permit When Approved Paid 7f, 15 R ipt No. 6' L (7 Date 7 2 8,I/ Building Official Date 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 Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372