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Building Permit 11-0226
DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 5 Z`( a ADDRESS I 6 I S t R t't Win, AX OWNER CONTR. PHONE NO. PERMIT NO. f 1 -- )--2 4 ❑ 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 ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: Ciie-AC. . ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT' 7K, CALL FOR REINSPECTION BEFORE COVERING Inspector: • /// Owner /Contr: CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 1NSNOTI i cl CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd I TEMPORARY CERTIFICATE OF ZONING COMPLIANCE " t'' AND UTILITY CONNECTION PERMIT 4 ' C .4.- I. White File l PERMIT NO. 11 , 120 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 16181 Filimore Ave. S.E. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Bob Mastous _ (Phone) 952- 477 -8796 (Address) (Site) BUILDER (Company Name) Renewal By Andersen (Phone) 651- 264 -4777 (Contact Name) (Phone) (Address) 1920 County Road "C" West, Roseville, MN 55113 TYPE OF WORK ❑ New Construction ❑ Deck ❑ Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑ Addition ® Alteration ❑ Utility Connection CODE: © I.R.C. ❑ I.B.C. ❑ Misc: _ Replace 8 windows within exiting openings. Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST/VALUE $_9855.00 Division: 1 2 3 4 5 (excluding land) 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 a . d 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 pe i t for just cause. rn, ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X _ _ e _ , I ,DA- ' LA _ ` . 20130983 A lnril'tl Signature Contractor's License No. Dale Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # S Mechanical Permit Fee $ Builder's Deposit S Sewer & Water Permit Fee $ Other S Gas Fireplace Permit Fee $ TOTAL DUE S i � 7 r . This Application Becomes Your Building Permit When Approved l Paid - 1 /, yr Rec pt No. 1' 251 -- 1 Date 4- . 8 .� . B 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