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Home My WebLink AboutBuilding 11-0586 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED / 25J . ll ADDRESS 5 [ Z`7 lw OWNER CONTR. PHONE NO. PERMIT NO. J I — �BC0 ❑ 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 0 COMMENTS: Uose --tile-ii le.. . : riJue o 00 ;v_soec4 ', i' ' ; ❑ WORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED ❑ CORRECT K,CALL FOR REINSPECTION BEFORE COVERING Inspector: ,� Owner/Contr. CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. • CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! manor) TEMPORARY CITY OFCERTIFICATE OF PRIOR LAKE BUILDING ZONING PERMIT,COMPLIANCE Date Rec'd .) t.21AND UTILITY CONNECTION PERMIT dr� so`F 1. White File 2. PinkakCity /PERMIT NO. .r j 3. Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5 L1 t L( Ecww oc j G(.LJ—U S i , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (‘rCR/1�� '� 1 1 k k�1 tc, L \J Gi S Lizs P (Phone) ((051 1 Jta 1 - `71 (o�o (Address) 50 J E P Kvji A k A I k-QA 1T)( S c BUILDER (Company Name) T C cS`J& ' C coo\* JLC 1.0(-' R L., (Phone) L'S '(o S-ELI tL ie 0').(Contact Name) (71/1A, �?�� CCJ ' (Phone)GIS Z 0 (© . o!' (Address) 13 L 5 S c_ir.k..2-%f" P.A'u k( TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ['Addition ❑Alteration ['Utility Connection W 1 C.;LJ 4--e-ptQ c_,�, ,n„ . — CODE: DI.R.C. DLB.C. ❑Misc: C`() C rfry ,✓Lcj {�"`" ''`-*'I(:0 Type of Construction: I II III IV V A B V `?J DO, DO Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 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 .c will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o this permit .�- e. Furth ore,I h that the city of ficial or a designee may enter upon the property to perform needed inspections. c d 50 L131 9 '11 (0111 Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ 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 $ 7f. 73 This Application Becomes Your Building Permit When Approved Paid 7 f 7/5 Receipt No. �J/9Z Date //e / 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 Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372