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Building Permit 11. 1295
DATE TIME CITY OF PRIOR LAKE 47#7.____ INSPECTION NOTICE SCHEDULED ADDRESS 1 (Q) (` (.10 43 0� -x_ OWNER / CONTR. PHONE NO. PERMIT NO. 1 -� V /z. 53) ❑ FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILLING O FOUNDATION O MECH RI ❑ COMPLAINT O FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL X.-FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: (,-�.,e,- / /, /Z c /5 LIO Se. // /0 ha G .) h r� jfr CoS y- ri to/ / Z- 5 bj �' - ----. K Lejts 7_0( N ' )(WORK SATISFACTORY, PROCEED O CORRECT ACTION AND PROCEED 0 CORRECT CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner /Contra CALL -8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY' uallon us Z 1§ ■� ■ u E x§ \ 0 2 2 3 55■ ~ 2 q _ 0 O. 12. % « § w o iZ 0 .. 2 z 000000 , § 2 - S 0 J LU X . vi O * ", d ��a 2 k 0 O z 2 o o - 1 . z 0 § o 0 w z ° ca ¥ U c a § a 0 z ca f o a §3 /-§ §§ o o z 1 t a §§ ■ a2 * 2 § $ w ® OcoOOO $ \ 0 0 z % ' a a u. z > o ce w gib 3 U 7 le 0 o 0 0 k 8 2 • u u f q z « 2z 0 -4 Z g , a k pi a co kt a0■ z W . «_ © � J D ui w I kk1 a ' � k § 0 0 0. 0. .. 3u g 0z < 0 a 000000 _ 0 0 S. of PRI p p , CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE E , AND UTILITY CONNECTION PERMIT U t» pe +jNNE SOKe' 1. white File 2 Pint: City PERMIT NO. / 7-- % Z rc-- 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6 7// 4' °,c'' 1 .' 4 6, S° - - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER_ 1 7 (Name) /OM fYl /rit'e /% , C. i i (Phone) 9s» / 4 1 7 - /' (Address) hi/// L yC • i S ,4 e e S. c. BUILDER (Company Name) # ,�05 /it. `', /C O C"� vse.' / /A'J/$ (Phone) (Contact Name) D a , t r /ii 1 d e l (Phone) e 1 5 - / — 7 5 . 3 - - 4 1 7 7 (Address) `70(5 i.U4S /t ,,,,, io ti/ ,-'¢. -Je ,) - TYPE OF WORK D New Construction DDeck ❑Porch DRe- Roofing ORe- Siding ❑Lower Level Finish D Fireplace ['Addition (Alteration DUtility Connection CODE: LR.C. DI.B.C. 0 Misc. Type of Construction: I II 'HIV V AB PROJECT COST /VALUE $ ,'CG t `G e, .r 6 Occupancy Group: A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) 1 hereby certify that I have famished 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 - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can revoke this permit for just / cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation l JC.20. .-- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ : c0p 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 $ -31 •- ,i . •° T Ap icat r. Become • ; . i ' g • ermit - n Ap oved Paid Recei. t No. �w- { Date > « Z � rl B y dr ,. �Z.. c it u dine U'�� bate This is to ci ify that the requcs . e applicaitaon and accompanying docume is is i accordance with the City Zoning Ordinance and may proceed as requested. This document when sig by the Citl 1' nner . )nstrtutes a temporary Certificate of Zoning comp ance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued 'T"F ' (.�'i Date Special Conditions, if any t ! "cc for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 PRIOR LAKE BUILDING AND (INSPECTION INSPECTION RECORD SITE ADDRESS k I � c) NATURE OF WORK iS" -114 USE OF BUILDING PERMIT NO. ( ( DATE ISSUED iZ- (rit CONTRACTOR 6.4.3.5,i,., HONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE +fttaTibie 1 1 J-FNtN"(Pv iorioBackfiH) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING) /0?/// INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 1 FINALS BUILDING ELECTRICAL PLUMBING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850