HomeMy WebLinkAboutBuilding Permit #13-0499 �./
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INSPECTION NO'1'►CE ,.,,
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ADDRESS
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PERMiT ND•
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O PLUMBING RI ❑ COMPLAITIT
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❑ �OUNDATION � W pYER kOOKUP � p�REPtJ�CE F��L
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❑ FINAL p MECH F1NAl.
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O SITE iNSPECTtON
COMMENTS: �
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,,CaLL FOR REINSPEC710N BEFORE COVERiNG
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Inspector:
CA�� �7'9850 FOR THE NEX7INSPECTION 24 HOURS TH & SAFET�'�
CODE REQUIR.EMENT�A� FOR YOUR PERS�N� H�'
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CITY OF PRIOR LAKE BUILDING PERMIT � Date Rec'd
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� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
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~��NES��R 1. Whi�e File
2. Pink �,� PERMIT NO. �_,�„ f(� C��
3 Yeliow AppliCant
Piease or rim and si at bottom
ADDRESS ZONING (ot� use)
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LEGAL DESCRIPTION (oEFice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) � �— (Phone)
(Address)
BUII.,DER �/�
(Company Name)��'S�� �'.....5-� �LC� (Phone) Q �Z`u� -��I�
(Contaet Name) �� � L.�.✓�r>� (Phone)
(Address) „ � Z ( a -
TYPE OF WORK ❑ New Consuuction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Firepiace
❑Addition (]Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE S���
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hueby certify that [ have fumished tion un ' appiication which is to the best of my know►edge nve and correct. t also certify that i am the owner or authonzed agent (or the
aiwve-mennoned property and t atl c • i' n ' 1 conform ro al isting state and local laws and wiil proceed in accordancr wich submittcd plans. I am awarc that the buiidmg
ufficial can revoke this per for �us urth or , e r ee that the ciry officiai or a designee may enter upon the property to perform necded iatipectiuns.
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Signature o traMOr's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
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 AQplication Becomes Your Buiiding Permit When Approved Paid ReCei t NO.
Date �' B
Bui{din � Utiici�d Date
This is to certify that the requcst in the abuve appiicaunn and accompanying documents is in accordance with the City Zoning Ordinanee and may procerd as requ��ted. 1'his dixumrnt
whrn signed by the Ciry Planner consntutes a tempurary Certificate vf Zoning eompliance and allows consin�ction to eommence. Before occupancy, a C��rnticate �>f Occupancy must be
issucd.
Planning Director Date Special Condi6ons, if any
24 hour noticc for atl inspecteons (9S2) 447-9RS(1, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 553�
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