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HomeMy WebLinkAboutBuilding Permit 15. 0633 of pe�o�P CITY OF PRIOR LAKE BUILDING PERMIT, �. r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd AND UTILITY CONNECTION PERMIT �`�- �� ��*NEgogN I. While File I PERMIT NO./ 3 Yellow City 633J (Please type or print and sign at bottom) 3 Applicant ADDRESS • / 'zJ 'L ( ( ZONING(office use) v � �.I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER tt� / /� .�7 (Company Name)J0� •Fr 44 -,-i -f wn L_� (Phone) l7/C 3? - �/ Leg (Contact Name) c1< C rAilt E ` (Phone) (Address) SLSS r10 4,, Tc I Lm ,fr �,t/ Sroq' TYPE OF ORK 1:1 New Construction ]Deck ❑Porch ❑Addition ❑Alteration ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace CODE: .R.C. ❑I.B.C. ❑Utility Connection ❑Misc. PROJECT COST/VALUE $ Type of Co struction: I II III IV V A B Occupancy roup: ABE F HI MR SU Division: 1 2 3 4 5 (excluding land) 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-mentioned 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 that the building official can oke this permit for just cause Furthermore,I hereby agree that the city officia or a designee may enter upon the,propeny to perform needed inspections. X �•Vf 6f G/,AM -- Signature Contractor's License No. Date Permit Valuation 1 0 00 00 Park Support Fee # Permit Fee 7 $ $ /6)3_o0 SAC # $ Plan Check Fee $ (p(j 95 Water Meter Size 5/8"; I"; $ State Surcharge $ ..00 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 Appl' �i n om-. Your Buil/ling Permit Whe Approv d Paid _�_ Affr / Receipt No. i'I.(r� Date B //.� �, &ti Id'tl g Officio Date This is to cerci requ the ab a application -r,ccom an in documents is i ccordance -ith the CityZoning Ordinance and may when signed., ala, e cons 1 temporary Certificate of Zoning compliant rid allows nstruction to commence. Before occupancy, issued y,ateed as requested. This document ir •/ P< y. Certificate of Occupancy must be Fanning Direc. Date 'lice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED "t c\ (S' . ADDRESS ) 6 C 2( g £-L€ /� C� OWNER CONTR. J�. PHONE NO. PERMIT NO. I Li - qc ft S. �3.3 ❑ FOOTING 0 PLUMBING RI 0 EX/GRA I FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL .. INAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ TE INSPECTION 0 MECH FINAL COMMENTS: A- GAD Af—/ 4-A.,,. -L.4, Cly O r:X "Ise—, -11, (2)-fzi —k-s-0 — WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED i< O CORRECT ORK,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! uvsnon 1 P R I0 R LAKE BUILD NG A DOINSPECTION INSPECTION SITE ADDRESS RECORD 4 A -- V TYPE OF WORK alAIT USE OF BUILDING i PERMIT NO. 'IL BUILDER � DA E ISSUED NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS gEL O THE PERMIT IS BY SEPARATE DOCUMENT FOOTING 'MM. �INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN D 10:1111111111111Mmoullialla10111 FOR ALL INSPECTIONS (952) 447_9850