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HomeMy WebLinkAboutBuilding Permit 15-502 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED 3 /t//4.. ADDRESS c3 0_ _ OWNER CONTR. PHONE NO. PERMIT NO. 1 S . S�Z ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL ❑ FINAL 0 PLUMBING FINAL 0 ASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: 5 K- - � 1 WCORK SATISFACTORY,PROCEED RRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector: [j Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI • """' 10:.'l1 12182385313 FULLERTON ,,_........— PAGE 01/01 • °° p�A°► CITY OF PRIOR LAKE BUILDING PEms' • - • TEMPORARY CERTIFICATE'OF ZONLNG `� AND UTILITY CONNECTIONCOMPLIANCE Date Rec'd PERMIT Sr / G /. . 4,...,1, I.Whke Fac (Please j, or, , and :4,at bottom) I• Pink ADDRESS Q1� z Yellow Applicant PERMIT NO. -�- • C 0.,. ` • -A 'CYi, a + •11� ZO kill G LEGAL DESCRIPTION(office use only) / LOT BLOC ADDITIONs % . Gi, --__ .prD — /9 i— oper 0 ,, OWNER (Address) �► p • ' (Phone) 5 ^991-/-4 762 • RUII.DE. . (company Natrte) (Contact Name) - (Phone) (Address) C9°I ' a. 1 ■ (Phone) TM OF WOU ❑New Construction °Deck OForch ORe-Roofing e-Siding OLower Leve l Finish CFireplace ©Addition °Alteration L7 Utility ConnectonCOB : CIX. .C, of Construction: struction: 0 Mise, OccupyDivisioC Group: A B E F A IV V A . B I M R 5 U PROJECT COST/VALUE $ 1 2 3 4 5 (ezc(udj Ian t hereby Bracy roar 1 bavr tUmishea information on this a � bove-mcnttoned propCrtY and brat ani c application w official can revoke this or+stn�cton nip co which is to the best of my knowledge min and c Permit for ca sc. Furth¢ conform to all eidatintt stare and beau law comet. f also certify that!am the X �� nnore,I hereby agave that the c, offrciais And wm anteed i the property m e with submitted owner or authorized agent for the orAdes' A ��.../. designee cAay enter upon the pmin+ts to perform needed ma am aware that the building 1 : p�rrronc, Signature ��"�`] Perrnii Valuation Contracto 's License No. : 1� j Bate • Park Support Pee11111111111164111 # 1 • Plan Check Fee � =1,1 , State Surcharge • ,� Pressure Reducer Plutnbtn$permit Fee Sewer/Water Connection Fee # �� Water Tower Fee ammi Builder's Deposit 11:11111111111111111111111 Gas replace Peili tm9t Fr_e Other I TOTAL DUE This Application Becomes Youe WAWA" ill g u>Ymg permit When Approved — $Recei t No. M i BUildin Ut}it:inl Date t 40110 re rs[o malty that the request in the above a plicatwn and accompanying is in accordance with the City Zoning Ordinance may proceed as,Nd. This document when signed by rhe City Planner commies a temporary Certificate id Zoning compliance and allows cunsntu[ion rco e. efoie tetttpanry.a Cerrfieate ofOccupancr must be i`s' • Flxanirrg(director Dare 74 hour notice for all inspections(952)447_9850 Special Conditions.if any 4646 Dakota Street Prior Lido%UN 55372