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Building Permit 11-0741
DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 0 `� i' ADDRESS 4(t - C.1 ! 1 c2 CA 0- OWNER CONTR. qql PHONE NO. PERMIT NO. 11 eg2r. 'N ❑ 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: m, i EillinnIZIW 0 f 96 WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORR- . - K ALL FOR REINSPECTION BEFORE COVERING Inspecto Owner /Contr. CA it ' .50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD ' EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOn of ?Ri CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C� x m AND UTILITY CONNECTION PERMIT i) " r ..A'tvE I W ire File PERMIT NO , - 2 3 Yellow Applicant (Please 1 (Please type or print and sign at bottom) 1 ADDRESS j,4 / _ 00, ZONING (office use) - Ji f/1'' - 44b GS GlACLE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ��-- (Name) ,' 4 77 -i7` 7rpg.i/t/L/O/!-!,�' ,T/// . (Phone) (Address) BUILDER l . (Company Name) ©N -7:061.7 0 7 ©NC (Phone) 95 - IF — 574 9 8 (Contact Name) J4SQ4I/ 3(4t112 ((Z'-6 (Phone) (Address) 'f 3 d. 5, S v 7772 /CE et(1 . TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Conne ton CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II 'HIV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 l 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct 1 also certify that I am the owner or authorized agent for the above - mentioned property and • , .11 construction . . • I' m . trig state .t d local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke . °rmit forlu , c . agree that the official or a designee may enter upon the property to perform needed mspec ions X — geM 39x 3 ° g to fi r/ •+! •.. • Contractor's License No. D Permit • aluation 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 $ This Application Becomes Your Building Permit When Approved Paid l R eipt No. (.0 ' II Date (0 B • Building Official Date This is to certify that the request m 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 constriction 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