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HomeMy WebLinkAboutBUILDING PERMIT 14-1273 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED T./24c ADDRESS I (03 601't C.s„ 1 V`e--.. OWNER CONTR. PHONE NO. PERMIT NO. /4 ^/?-73. ❑ FOOTING 0 PLUMBING RI ❑ FOUNDATION 0 MECH RI ❑ EX/GRAD/FILLING ❑ FRAMING 0 WATER HOOKUP 0 COMPLAINT ❑ INSULATION 0 SEWER HOOKUP ❑ FIREPLACE ❑ FINAL 0 PLUMBING FINAL 0 FIREPLACE FINAL ❑ SITE INSPECTION 0 MECH FINAL 0 GASLINE AIR TST COMMENTS: • 1 GAL. lk 4 .irstii er =!gra, © k vk.\•er;d r ACC-eS5 • WORK SATISFACTORY,PROCEED • CORRECT ACT • AND PROCEED ❑ CORRECT • , •ALL FOR REINSPECTION BEFORE COVERING I pector. // Owner/Contr. CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! wSNOT! 4-P R j:,9 4) ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .:'-' 111a.,)\ '' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� Ir U hi UTILITY CONNECTION PERMIT I I' 13 `i 1�'NES(5C I.White File PERMIT NO. ((� . 1)-73 2. Pink city 3.Yellow Applicant ease type or print and sign at bottom) ADDRESS f (P 3 -7 I V;C_tu,-ieJ�) "Pr t La..F-C ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (9-5- ` -33' 033'0 OWNER (Name) Dov,vk (j 4.wk 0-v\ (Phone) (Q 1 Z-' ---'7 to $' (Address) 1(Q 31 \ V" , c \v,--;s,_ L&-rj/e . 'ri o r LoL I& BUILDER (Company Name) 1'N.c-10sk-rv_c, `t,r (Contact Name) e-Iia-+-Ls Li . l - (Phone) co/Z -33 3 - 7G 2 ' - (Phone) (Address) ZUd CTiAw'l-17.A. u-k- A-r2 So. Sid.. 120 1 t' 160wk,i ,......„:115,, I � 5s({-3 TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace illo DAddition DAlteration ❑Utility Connection 1 CODE: DI.R.C. DI.B.C. 0 Misc: 2�lie_ USN. Type of Construction: I II III IV V AB ccupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Co Cob •00 ivision: 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 pe.• . just se. F ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X _�� ''�` Fe- �5 8-o / // C /4 ifSignature Contractor's License No. / Date Permit Valuation Park Support Fee # $ Permit Fee $ -7 L--t, 7 SAC # $ Plan Check Fee $ --CO Water Meter Size 5/8"; 1"; $ State Surcharge $ TPressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ I- ,7 y Gas Fireplace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid l C7.. 7'5 Receipt No. 6.V Date l / 43 : /Li By c •(.Ly Building Official Date 0This 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 en 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