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HomeMy WebLinkAboutBuilding Permit #12-211 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED ����Q�/� �}Jr�}� v � ADDRESS �C� Q � c �� ��Q,� � ,�� � .r OWNER CONTR. PHONE NO. PERMIT NO. �� — p `Z,�� ❑ FOOTING O PLUMBING RI ❑ FJ(/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ ITE INSPECTION ❑ MECH FINAL ❑ _COMMENTS: b� � � � 45� � �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑�aRREC RK, CALL FOR REINSPECTION BEFORE COVERING Inspector OwneNContr: CA L 7 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY! rNSnori o F pR�O, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ' �� ,' � � � AND UTILITY CONNECTION PERMIT '�'"NES°�`' 1 Whrce File pERMIT NO. 2 Pinl. City � ^� ' �1 �' � Yellow Applicani L L � Please e or rint and si at bottom) � ADDRESS ZOI�TING co�;�� �st> `-�� -1 '� �r �� V i� �-w �"" 5 � �:"�� - �1 f � k�_ �'t RJ � � -� 1 LEGAL DESCRIPTION (of1'ice use only) LOT BLOCK ADDITION PID � OWNER -, , (Name) _ ( i k.-• �,t.(... � `� �AC'C�, (Phone) � � L — � � � — �� ��{ (Address) BUII,DER � (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck Porch ❑Re•Roofing ❑Re-Sidmg ❑Lower Level Fmish ❑ Fireplace ❑Add�hon ❑Alteration ❑U l�ry Connection CODE: �^ R.C. ❑I.B.C. ❑ M,sc Type of Construction: I II III N V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $ Division: 1 2 3 4 5 (excluding land) I hereby ceruty that 1 have hirmshed mformauon on this appLcauon which �s tu the brst of my knowledge hue and correct I alsu ccihfy that I am the owne� o� authorized agent for the above-menuoned property and that all conshuction wdl conform to all existmg state and local laws and w�Il proceed m acco�dance w�th tiubmrtted plans I am aware that the bmldmg I nffic�al can revoke th�s pe�m�t for�ust cause Furthermare, I hereby agree that the city official or a designee may enter upon the p�operry to perform necded mspecuuns X - � v`-.i L....— � �13�-'Q.x-C.�� Signature Contracror's License No. Date Permit Valuation � O � r � Park Support Fee # $ Permit Fee $ � SAC # $ � Plan Check Fee $ �.� Water Meter Size 5/8", 1", $ State Surcharge $ -Z ��v Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # g Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permrt Fee $ TOTAL DUE � , � g � �3 . 2. �. This A cation omes our Bpilding Permit en Ap oved Paid i t No. 3 � � 2 Date d,/ Z- Bui dint - ..d Date This �s [o ify that th e est m the abuve apphcat�on and accompanymg docu ents �s acco�dance wuh the Gry Zonmg Ordmanee and may proceeA ati requcsted Th�s ducument when si by e Gt P ne� � ututes a rempFlrary Ceitificate of Zonmg co phance nd allows cunstructwn to commence Befuie uccupancy, a Ccit�ficate �>f Occupancy must be �ssucd 3 z f Z- Plannm at Spec�al Condrtions, if any 24 hour noticc for all inspections (952) d47-9850, fax (952) 447-J24S 4646 Dakota Street Prior Lake, MN 55372 t DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS �4- �,,�,� v � � ° TYPE OF WORK USE OF BUILDING PERMIT NO. � Z- �"7�'r DATE ISSU D Z (z BUILDER G v � PHONE - NOTE: THIS.IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECT R DATE Foo�NC� t�e��� � s�-r�r� �sc � � PLACE NO CONCRETE UNTIL ABOVE NAS EEN SIGNED FRAMING FINAL � � FOR ALL INSPECTIONS (952) 447-9850 r � c� N (/� D �'+ �j r c� o o �d o 0 0 � � n v O Q A r�. r7, t�. r r�. � C� � m � � � '--� r� � � � � ° T � I � x o a $ o ro '� * * � _. v 8W oa � � � ��� ���� �'�� ��8 W � �, . •= * p� � �" '' � A h � � ' I 8 o ci a vr �.. �It , �It � 8 m '� -� Q (7 m ro � (p � � � 17F ¢ r W � A (7 * � � z nA r' � � ` ;� �� � ��'4� � `� r � � fl 'f �k -� � m.,� u z y t �'� -° � '^ �vood� b � C�? 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