HomeMy WebLinkAboutBUILDING PERMIT 16-854 DATE TIME
CITY OF PRIOR LAKE
SCHEDULED
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INSPECTION NOTICE
ADDRESS -C —Z /` +�
OWNER
CONTR.
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PHONE NO. PERMIT NO.
0 PLUMBING RI ❑ EXIGRADIFILLING
❑ FOOTING 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOUNDATION 0 FIREPLACE RI
❑ FIREPLACE FINAL
OMPLA• INSULATION• FINAL0 y','}'
❑ SITE INSPECTION
0 MECH FINAL (-As k S :
COMMENTS: /
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❑ WORK SATISFACTORY,PROCEED
Ng<CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
,� Owner/Contra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURSK FEE !
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSNOTI
0.�j /P:RIO-,ife CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
L-'' , \ `1 x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z9/(o
\ l`�' AND UTILITY CONNECTION PERMIT
.
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I. e File
2. Phnke City PERMIT NO. ` �j
3. Yellow Applicant"1
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se type or print and sign at bottom)
RESS ZONING(office use)
3-5 -,z tE3it,55vod) c.. i
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name)OWNER ------372h /� �4 ,/1Q j_J (Phone)r 49/01 ^ p�O7'_ ?-elt7
0
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction DDeck ❑Porch ❑Re-Roofing N Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ❑Alteration ❑Utility Connection r�/
CODE: ❑I.R.C. ❑I.B.C. El �/V Misc: O"'DO W
Type of Construction: I II III IV V A B
panty Group: A B E F H I M R SU PROJECT COST/VALUE $
ion: 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 cons ction ' nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke th' pe ,�or just ca Furthe ,I hereby agree that the city official or a designee may enter upon the property to perform needed plans..
X 7-21 -- Ho
Signature Contractor's License No. Date
Permit Valuation Zt s--b 0_0 0 Park Support Fee # $
Permit Fee
$ /0 3_0 0 SAC # $
Plan Check Fee $ -r---• Water Meter Size 5/8"; 1"; $
State Surcharge $ /— ad 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 $ /O¢, 00
This Application Becomes Your Building Permit When Approved Paid 104 do Rece'pttNo. 63.73
Date 7,2_1_1 4 By age__
Building Official Date
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
gn
ed 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