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HomeMy WebLinkAboutBuilding Permit 11-0976 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J L 2 ( J i OWNER CONTR. PHONE NO. PERMIT NO. /7 — / c, ❑ 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: (/ IyWORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT •RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner /Contr: CAL. 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI C PR /0,—"" CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT vi ESD I. White File z. Pink city PERMIT NO / ( _ q7, 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) Z( rc(r te-J ( 6 5- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER / (Name) � G.'' Ail (2c c 2 - (Phone) �( �, 2 C l I 6 (Address) [(:, 7h 1 Va, --tkJ - pr SE BUILDER (Company t ` S + , ��' - q65 (Company Name) � (l Vh (. L ( (Contact Name) ` vx 56 In i,t „A 't p (Phone) - 5Z6 7 - 5 ©y - 11 1 1 Y d (Address) l 3 ` ( U I ( xA {. r7 S (1_A. VA 5u (1.1-e_ /t / S 5 - 33 -] TYPE OF WORK ❑ New Construction ['Deck OPorch [ e- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace DAddition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I lI 111 IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ ', 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 1 am the owner or authorized agent for the above- mention 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 oke this • or lust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X k 7Oi7e5 _5 CI / 7 2/ ( Signature Contractor's License No ate 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 FF 1 This Application Becomes Your Building Permit When Approved Paid / _/. 7S p Tl Recei o. Date g, Z Z - / / By 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