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HomeMy WebLinkAboutBuilding Permit 11-0654 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED d / ) `f ' /l ADDRESS 35 3 l W Lt ` OWNER CONTR. 11 — c.5{ PHONE NO. PERMIT NO. j0 _$,) ❑ 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: Pet (4 lo _ &n ✓/ 14 ,, 1( - 4s ' ,� 0 d W ORK SATISFACTORY, PROCEED ❑ ORRECT ACTION AND PROCEED ❑ CORRECT •O' , L FOR REINSPECTION BEFORE COVERING Inspector: i 1 Owner /Contr: CAL � FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOT1 $1 P11/04 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd C i . �, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v,, • g AND UTILITY CONNECTION PERMIT I white File 2 Pink City PERMIT NO . i / 5 3 Yellow Applicant r (Please type or print and sign at bottom) ADDRESS S 3 I V f //O 00 Bea ch Tra' I 663 ^ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ) D .� 4- ,�- �, ( )C15 W 7 3O '/ e Ll Q r l Q �- I am G '''� ` Phone (Address) 36 31 W j id F�- c / ra 7 I ( Na m e) R Co ,ic ,& c/a5 O /5 ( Phone ) (Contact Name) A a n 9 5O (Phone) (Address) I ! V Long Oat Rd, C e /A/ F.a nu) 56 ID 1 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing 1240 a Qi 0 re ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection X w `mod ow g o? y :© Misc. n Rxj $ �- j rt3 0 � j � '►a PROJECT COST /VALUE (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 buil' ' official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ente a property to perform . - din r ections. / ' X aol(� G,Q9,// 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 $ City SAC and WAC # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7 9, 1 S L This Application Becomes Your Building Permit When Approved Paid 1 { .7 R ipt No. G 'silt, Date 1 - v0 ,, ! I 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 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue Prior Lake, MN 55372