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HomeMy WebLinkAboutBuilding Permit 14-0353 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED r-2--11\1 t a ADDRESS J��l�� P.,‘„ I0..„..r, S 1 _Cs OWNER CONTR. ►�� PHONE NO. PERMIT NO. 1 . S-41 ❑ 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 ❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL .-cCr " D r �S COMMENTS: 0 WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector: COwner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! 'N IMSNOTI of P11/04 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd O`v /��' � AND UTILITY CONNECTION PERMIT �0NNeso'tr V f/`✓ C.- I. White File I 2 Pink City 1 PERMIT NO.iii,.5 3 (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS /1-6:2O® A.4PC LI/4)N /�®leCS �+ ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER • (Name) 'j,?J,TP1// LC. Ad �/1• (Phone) 9s+t'��9®"'f'�,r ( dress) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch [Addition ❑Re-Roofing ORe-Siding ❑Low r Level Finish ❑Alteration ❑utility Connection • � ❑Fireplace CODE: DI.R.C. DI.B.C. 0 Misc. �_' , LA .. ,i,�_.� _' L�G'�Li� I,, Type of Construction: I II III IV VA B PROJECT �y� Occupancy Group: ABE F HI COST/ ALUE M R S U $ 4,2✓v©• DU Division: 1 2 3 4 5 (excluding land) I hereby certify that I have firrnished information on this application whi o is to the best of my knowledge true and coned I also certify that I am the owner or authorized agent for the above-mentioned property and that all•••struction will conform to. isting;tr. local laws and will proceed in accordance with submitted official can revoke t .-permit for just e- ,I hereby that themat or a designee may enter upon the property Pads. I am aware that the building `� P P perry to perform needed in pections. IX - -�-. may0" _ Si: .lure _ L / 2a1/9 Contractor'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 Application Becomes Your Building Permit When Approved Paid 9: �' Receipt o. 7/L,�f Date ///; . 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 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372