HomeMy WebLinkAboutBUILDING PERMIT 16-1338 DATE
TIME
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CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
ADDRESS L 'C /,
CONTR.
OWNER �J
PERMIT NO. < <0 ❑ C,RADIFILLING
PHONE NO.
0 PLUMBING RI 0 X GRADIF CE RI
❑ FOOTING 0 MECH RI 0 FIREPLACE FINAL
❑ FOUNDATIONA0 WATER HOOKUP 0 FIREPLA
IVF
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACE
AIR AL
❑ INSULATION 0 PLUMBING FINAL 0
►NAL 0 MECH FINAL
SITE INSPECTION
COMMENTS:
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AK /MA
WOW imp
Ips WORK SATISFACTORY,PROCEED
❑ CORRECT •CTION AND PROCEED
❑ CORR
E' .RK,CALL FOR REINSPECTION BEFORE COVERING
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Inspector: �i HOURS IN ADVANCE.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HEALTH&SAFETY!REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
) TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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� AND UTILITY CONNECTION PERMIT
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1.white File //
2. Pink City PERMIT NO. /337
3.Yellow Applicant `�/ �
(Please type or print and sign at bottom)
IHSS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 4 /PAT- / f�(J77 5 (Phone) ["-;/2 • S / ` eV/L1
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. DI.B.C. %Misc: (Z/ Doc4S
Type of Construction: I II III IV V AB
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
'• i sion: 1 2 3 4 5 (excluding land)
y certify .• -- - rnished 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
a..ye-me. .ned prope . d that all co... cti..' ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offici. an revoke it .r ju -,a e. F,y+.- ore,I hereby agree that the city official or a designee may enter upon the property to perform needed in ectiogs.
` �� /l / r l'
Signature " ""` Contractor's License No. ate
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 $ /0 ' 06
This Application Becomes Your Building Permit When Approved Paid /04- 00 Rece'pt No. 731
Date 1/_ /CI 10 By
5?-ey
Building Official Date
This 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
-• 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
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