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HomeMy WebLinkAboutBUILDING 15-0954 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 5 2-5/4(z) ADDRESS / c < )O 4 ' OWNER CONTR. PHONE NO. PERMIT NO. 59"j C.1 ❑ FOOTING 0 PLUMBING RI ❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING 0 CEP ❑ FRAMING 0 WATER HOOKUPLAINT 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUPFI ❑ FINAL 0FIREPLACE FINAL 0 PLUMBING FINALGASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL COMMENTS: 12=1 St-Ig ices , ORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT W.RK,CALL FOR REINSPECTION BEFORE COVERING Inspect;,/ice- Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 4 043 4' ,' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd Z, \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tv AND UTILITY CONNECTION PERMIT tiff %�� NNEs- 1. white File PERMIT NO. /5• , q54...12. Pink City3.Yellow Applicant ase type or print and sign at bottom) ADDRESS ZONING(office use) 5/6,0 , 5m t5'i ��7_ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) kA 2 k-W400PA77Y/E%�j9' LGC (Phone) 4 EZ` 21v9 • 7cfS :, (Address) G-eb2_.-LE 1-1-01e B5ThDEIt COQ J/7?i -TV - (Company Name) LE5 .7bitrif Ro©f«!tri /rife- (Phone) /1,5-..2 • .92/ ' 2 a V/ (Contact Name) C Abe/5 A-n,v 17 5'o/1/ (Phone) b/. -...7a 7' / 68 (Address) q/.// kV a7617/- 577 & 7 Licac,/yt/AJ 1V A/, /LMA/ 1-424 TYPE OF WORK 0 New Construction ❑Deck ❑Porch XRe-Roofing ORe-Siding DLower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection ilopCODE: DI.R.C. ❑I.B.C. ❑Misc: e of Construction: I II III IV V A B l�!/pp cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 70�OC)0 vision: 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 . :. 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 re • e thi •ermit for' , use. urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ,-. . efl----. 0 e.,5-6o Vi,3 /5"--- Signature Contractor's License No. Da e Permit ValuationPark 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 $ This Application Becomes Your Building Permit When ApprovedPaid 7....f, 7' Re ipt No. 24U Date e ,..(.l 3— y Building Official Date his 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 n 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 ed. 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