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HomeMy WebLinkAboutBUILDING PERMITI 16-1015 DATE TIME ‘ CITY OF PRIOR LAKE SCHEDULED l Z"Z Cy INSPECTION NOTICE 'I ADDRESS 1 535-4 ,• CONTR. A " OWNER I PHONE NO. PERMIT NO. 0 PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOOTING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI❑ FINAL ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACEPAIR TAT /g(FINAL 0 PLUMBING FINAL 0 !/ 0 MECH FINAL ❑ ITE INSPECTION COMMENTS: IP . , o 111 1111.11110111 IOW WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC ,CALL FOR REINSPECTION BEFORE COVERING Owner/Contra Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH& SmSNOT1 p4 fill CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd .\,e" '� TEMPORARY CE QC CONNECTION PERMIT I,IANCE tz AND UTILITY l�'NP Spy 1,while File PERMIT NO. /(o , 6 0 t 6- 111:..,.. 3. Pink App 3.Yellow Applicant 'lease • or nut and sLi'at bottom ZONING office )use ADDRESS alN LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER (Name) (Phone) (Name) tO yr I (Address) •2a- ejlimmadiu / BUILDER (Phone) — 6 (Company Name) // - (phone) (Contact Name)/ r �� A. _1 /' `a (Address) gfJ � Lower Level Finish ❑Fireplace TYPE OF WORK ❑New Construction ❑Deck ['Porchl T.-e-Roofing ❑Re-Siding ❑ ❑Addition ❑Alteration 0-Utility Connection 0 Mise: CODE: OI.R.C. OLB.C. PROJECT COST/VALUE $ ����" Type of Construction: IIF III IV 01 Occupancy Group: A B E F H I MV A B U R S (excluding land) • I II Division: 1 2 3 4 t for the zed in accordance with sat I amd Plans• lam aware that the building I hereby certify that I have furnished information on this application which is to the best of my knowledge true ein the property d conect. I also perform needed inspections the owner or oriageII oboc al cantioned property and I construction will conform to all existing city officialolocal r laws ig e may w proceed P u cause.F,.� .etmore,I hereb. ;ee that the cityr official canA0 oke this Permit f• J ` • As//�_/ I 1 �: 4 II //0Contractor's sLicenseNo. Date Signature • Park Support Fee # Permit Valuation IIIIIIIIIIIIIIII 11111111111111111 Permit Fee - Water Meter Size 5/8";1"; Plan Check FeeIUIIIIIIIIIIIIIII Pressure Reducer ©_ IFBIIIIIIIIIIIIII State Surcharge 1g11111 Sewer/Water Connection Fee # EIEIIIIIIIIIIIIIIIIIIIIIMLIIIIIIIIINIIIIIIII Water Tower Fee # Plumbing Permit Fee Builder's Deposit Mechanical Permit Fee Other Sewer&Water Permit Fee11111111111111111111111111 ljllNNIIIIIIIurmmmmmn TOTAL DUE Gas Fireplace Permit Fee This Application Becomes Your Building Permit When Approved Paid Date / " 7 EfIIIIIIIIIIIIINIIIIIIIIII I I 13uildin_Official Date documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document an must be This is tog certify that the Plannerat in the above temporary and accompanying ofZong when signed by the City constitutes a temporary Certificau:of Zoning compliance and allows construction Co commence' Before occupancy,a Certificate of Occup issued. -�� Special Conditions,if any el Date Planning Directorfax(952)447-4245 24 hour notice for all inspections(952)447-M�nesat 55372 4646 Dakota Street S.E.,Prior Lake, /221.70