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Home My WebLink AboutBuilding Permit 11-0343 DATE TIME CITY OF PRIOR LAKE f INSPECTION NOTICE SCHEDULED S/�f {1 ADDRESS 16 -( s�►••eJ� Lr ; OWNER CONTR. PHONE NO. PERMIT NO. 11 - 343 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ATINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: QQr Cg----Q C /0, 4fPlccvA ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC 0 K, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contr: CALL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 1 PR /0 o 4 to- CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd U TE MPORA RY CERTIFICATE OF ZONING COMPLIANCE 1 / tri AND UTILITY CONNECTION PERMIT 1 ' 4 � I. White Fite 2. Pink City PERMIT NO. / � , 34 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) is Ysicod vet,/ f ot - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER . r © (Name) ! 7 i d n (Phone) (Address) 1-C ?CV 7 / S lG n (1 61: 967 P G 1 --Q �C (Company p J 7 (3 2447? 96 76 (Company Name) � id id( 0- i`-� f' � C�" my �;�►�10�s t "c (Phone) (Contact Name) / t Ili' of/ii 61G ?1 (Phone) 7 6 - a? `A--. (Address) 6 41 5 ( _c/ CO,-^LV' Cf. MaRe Glove i''°' .553E? 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: Type of Construction: I H HI IV V AB c2,_, Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ c 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 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 th it for just e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X �!�_ --- -- -; -; co / o 7 3-d- /1 Signature Contractor's License No. Date 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 # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 4 7 9, 7,1 ' This Application Becomes Your Building Permit When Approved Paid 1 ` . 14 s Re ipt No. 62204- Date 57, !e„ 61 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 S.E., Prior Lake, Minnesota 55372