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HomeMy WebLinkAboutBuilding Permit 114-0923 DATE TIME CITY OF PRIOR LAKE I INSPECTION NOTICE SCHEDULED ADDRESS ((--, 1 CC CA,20 (( :00. Cir, OWNER CONTR. PHONE NO. PERMIT NO. It-1 4)7/3. O FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI • INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL 'SINAL 0 PLUMBING FINAL 0 GASLINE AIR TST O ITE INSPECTION 0 MECH FINAL 0 COMMENTS: -2).7-2-s 4 ---r-AP0A--e' -4---erd--° -3A-1 - `-? e, --.1.)„,,,,s, giii r- 1 WORK SATISFACTORY,PROCEED II O CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI OF PRio+P r. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT U Irj j I. White File 2. pink City �3 44N Olt. PERMIT NO. i A s Nes 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 16 -7(44) Gf-e_e_lc5l-)Q_ < cc\ . 5.- c)( : cir 1eike. MI <371\ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER©0t.j 1S\Ntie(cl5t—c) (Phone) 7� I — 684 -lis )4 (Address) I L 7 uQ c(Qx.k i ch— �,s cI� 5 a- \C oc iz fCz. \N C^5 3 'A BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ['Addition Alteration DUtility Connection CODE: R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 1 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 I am the owner or authorized agent for the above-menti. •d 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 tha:the building - official cal oke 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. X I.r..o Se Vi--11..\ ipSignature Contractor's License No. Date Permit Valuation l 000 f- ' Park Support Fee # $ Permit Fee $ 34 14C SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ F c0 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 $ 35.;) Z This Apple do :eco, es Your Building Permit When pprov Paid -,T zRece' t �� ` /14 Date ei i. By ‘1'nil fine Official D, e 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 Prior Lake,MN 55372