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Home My WebLink AboutBUILDING PERMIT 16-1036 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED c71.2i/ ADDRESS 5533 1 i yth V in OWNER CONTR. / / PHONE NO. PERMIT NO. Ijty / © �✓ s ❑ 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 0 COMMENTS: e105-2 -T-L4, T i\--e t TO 6 ?-e5W—t.+----4 / 811 w, (,-;„�,,,-) ❑ WORK SATISFACTORY,PROCEED ❑ CORRE ; TION AND PROCEED ❑ CORR= o c K,CALL FOR REINSPECTION BEFORE COVERING Inspector: 'I� Owner/Contr: Haig CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI Oe-PR7 �. '> CITY OF PRIOR LAKE BUILDING PERMIT Date Rec'd ti , \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 q /6 `-xi AND UTILITY CONNECTION PERMIT rkNE5Y t. write File 2. Pink City PERMIT NO. /6._ /03 40 3.Yellow Applicant type or print and sign at bottom) RESS ZONING(office use) S5'33 7,'Mb 1o'''' -7-,...,„; I Soul-4 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER J (Name) BOA L"el Z-;K. (Phone) (Address) BUILDER (Company Name) j i 7� ,Pcr5/7'1 Con f)1. .7;7(. (Phone) 7 6 3 - Z Z Si'' - i 9 V/ (Contact Name) .✓f ['4 y o (Phone) / (Address) /0 ; ) E. S F' r S 4- . &R e P%, n le /h// 1'e"c TYPE OF WORK ❑New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE: ❑LR.C. ❑LB.C. )d Mist: Cl) Ki0D6t4 T e of Construction: I II III IV V AB panty Group: ABE F HI MR SU PROJECT COST/VALUE $ ion: 1 2 3 4 5 (excluding land) I hereby cert. • - -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-•• ioned property...d 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 offici• can revoke this perm' ... cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Bc ,973/ 9-9-/eSignature Contractor's License No. Date 411 Permit Valuation Park 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 $ /04' 00 This Application Becomes Your Building Permit When Approved Paid /(ft+�aZ) Rec i t No. 6g>�z- Date �? y� (�v B# 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 igned 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