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HomeMy WebLinkAboutBuilding 11-0700 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED //206 ADDRESS S 62 -6 OAA r a. 0- 1` OWNER CONTR. PHONE NO. PERMIT NO. /[ 7O ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT Cl FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL ❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: C ( osetieFte )ueto . ncietivity ❑ WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT W 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! ❑V$NOTJ of PRic CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q a / / AND UTILITY CONNECTION PERMIT �J U (rj y4(resCAP. I White File 2pink City v PERMIT NO. // `!�0 0 . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) gbs(0 6iAP\CA C42 SE ` Airco✓ G-gke � .- ,Al LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (,tJ4-1 S J, anS Sv2✓t+n 0 e . Spt Al e lr (Phone) q 52--1) S- 04 OZ (Address) Li-Ea 6;„n,A C1 rz 5E r M1©✓ LakC ` MA,' 5531 - BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ['Deck ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace ['Addition ['Alteration ['Utility Connection r� ise CODE: R.C. ❑I.B.C. ❑Misc. 4441.1 t(, 14.,�5 ®�� rs�✓ 0c4e- Type of C nstruction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have himishe. formation 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 e- opructwexistingaccordance ted plans. I am athat the building official can revokementionedprthis e main mi and fortha ju cauconsta Furthermoreionill ,I herebyconformto agreeall thatistinthe cistatety officiandallocal oralaws designeeandwill may enterproceed upon pi the propertywith to performsubmitneeded inspections.ware X Aill dr i re Contractor's License No. Date . Permit Valuation 'Z^ Park Support Fee # $ Permit Fee $ I 4'1> SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ CPressure 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 $ 71.'2 c This 101o t comes Your Building Permit7(/oved Paid '7Receir��. 3 1 !ildia UIticia e This is to cern e 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 52)447-9850,fax(952)447-4245 4646 Dakota Street rior Lake,MN 55372