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HomeMy WebLinkAboutBuilding Permit 16-1072 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � 29+t ADDRESS \t►\ I � OWNER CONTR. PHONE NO. PERMIT NO. \ , (p7 ❑ 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 ❑ COMMENTS: .¢, cg L WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING InspectoC..�` 4 -- Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! NSNOTI O. P R I04, .1 i /i\ \ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd }x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE "`, `� AND UTILITY CONNECTION PERMIT I`A'N E S� 7. /?f /4 1. white File PERMIT NO. //�yy�//� 3. Pell City ��, l©•/ ��( 3.Yellow Applicantil 111 ` f, e type or print and sign at bottom) KESS ZONING(office use) r� 9 � � 51'0'rC< (? IS2 LEGAL DESCRIPTION(office use only) LOT BLOCK /ADDITION S7/42406 / s/. l PID ZS� OWNER (Name) GF�,� t 5 Q__ (Phone) (Address) I (-19 i S ) 4--3,/,vvi ( 4 BUILDER < / (Company Name) .I"Q�,1( �, 0al"AQ S li (01.-phone) �/d ' 3 b 9" (c) (Contact N . e) C ' Q O2 fwd (Phone) (Address)1/1'''''/, i c— g7 t e er'` Lo/VP TYPE OF WORK ❑New Construction ['Deck ['Porch ['Re-Roofing Re-Siding ❑Lower Level Finish ❑Fireplace CODE: ❑I.R.C. ❑Addition ['Alteration ❑Utility Connection ❑I.B.C. ❑Misc: IIF Type of Construction: I II III IV V A B � ' pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ ion: 1 2 3 4 5 0i? (excluding land) I hereby ce i, th, I ave 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-men on• pi,erty and that all construction will conform to all existing state an ws and will proceed in accordance with submitted plans. I am aware that the building official ca,r,oke I is permit for just cause. Furthermore,I hereby agree that the city o ial or designee may enter upon the property to perform needed inspections. % rliJ. L CDD) "3 9-1 s—� Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ j /(1� Water Meter Size 5/8"; 1"; $ State Surcharge $ / U �t Pressure Reducer $ Penalty $ / C ' (. 0 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 $ /O 4` 06) This Application Becomes Your Building Permit When Approved Paid /® 14, V® Receipt No. bq` 2--- Date 9 l/q• I/ By 5� g Buildin Official Date• ( (p 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 ifigned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372