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HomeMy WebLinkAboutBUILDING PERMIT 16-1170 \ DATE TIME CITY OF PRIORNOTICE LAKE SCHEDULED i / Z2 --- INSPECTION ADDRESS lL 10 8.-= _L." er---• ' OWNER CONTR. �, PHONE NO. /w PERMIT NO. (.) 0 PLUMBING RI ❑ EX/GRAD/FILLING CI FOOTING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RIPLACE FINAL ❑ INSULATION 0 SEWER HOOKUP 0 GASLINE AIR TSL ❑ FINAL 0 PLUMBING FINAL 0 ❑ SITE INSPECTION 0 MECH FINAL I COMMENTS: I .;, ' �` If � win`� / WORK SATISFACTORY,PROCEED O CORRECT ACTION AND PROCEED IDCORf •-K,CALL FOR REINSPECTION BEFORE COVERING / Owner/Contr: Inspe CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! rxsxon DATE TIME CITY OF PRIOR LAKE / INSPECTION NOTICE SCHEDULED `(/ti_I 1(f ADDRESS 'Lf 25Q i ' ck:7'r OWNER CONTR. PHONE NO. PERMIT NO. I C/ '-- I(7O ❑ 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 ❑ FIREPLACE FINAL ❑ FINAL 0 PLUMBING FINAL ❑ LINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: ] WORK SATISFACTORY,PROCEED /❑0 CORRECT ACTION AND PROCEED ❑ CORRE► •`-K,CALL FOR REINSPECTION BEFORE COVERING Inspector: . Owner/Contra CALL ••. 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY.' INSNOTI O�Z- PR1�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE o 1`� l& AND UTILITY CONNECTION PERMIT t./ JJ /‘,. , ,,,.,:y 1. White File 2. Bink city PERMIT NO.f /` 177 3. Yellow Applicant V! e type or print and sign at bottom) KESS I L- L-S 0 S(n�: friti .eac `^ 1 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT'LOCK' ADDITION OYi / Cr C/!(y PIDA /V —t49e b OWNER .}- .3G i [g (Name) \ O'\ r1GLP(tom '�-S c-,--,_,, ) (Phone) (t)J 1 3 (Address) BUILDER (Company NamC C / e r l\C (Phone)1.L 3 2-4 1 a 11-- (Contact L(Contact Name) Com-• (Phone) U ,v?...:-- --ns- (f (Address) Q\.CAokMAs_l z rJC- 64-3- G MA)v S S-3 TYPE OF WORK ❑New Construction ❑Deck ❑Porche-Roofing e-Siding ['Lower Level Finish 0 Fireplace ❑Addition DAlteration ❑Utility Conne tion CODE: ❑I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V A B 2 1 f7" o pancy Group: A B E F H I M R S U PROJECT COST/VALUE $ V sion: 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 pr perty and that all co truction 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 revoke i ..� •. Furthe ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X IA b Ct i1r [ G- 11 Signature Contrac r s License No. Date Permit Valuation ` Park Support Fee # $ Permit Fee $ I SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge �$ D�, Pressure Reducer $ Penalty 'y � $ 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 $ /-©!.c . 0"e..) This Application Becomes Your Building Permit When Approved Paid / 40t a Receipt No. /7 vgt(� Date ![ 6 if- /62 By S A.. Building Official Date 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 4/(ai 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 d. 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