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HomeMy WebLinkAboutBUILDING PERMIT 16-1259 DATE TIME CITY OF PRIOR LAKESCHEDULED t 1S INSPECTION NOTICE 11 ' (e-k, ADDRESS , ,, i "' 41 OWNER CONTR. r 'Cf PERMIT NO. - I 1° /Z.'� PHONE NO. 0 PLUMBING RI ❑ EX/GRADIFILLING ❑ FOOTING 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP ❑ FOUNDATION 0 FIREPLACE RI ❑ FIREPLACE FINAL ❑ INSULATION 0 SEWER HOOKUP 0 PLA AIR TSL FINAL 0 PLUMBING FINAL 0 ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: .it, I MINI In ORK SATISFACTORY,PROCEED ❑ CORRECT •N AND PROCEED ❑ CORRE' WO- ,CALL FOR REINSPECTION BEFORE COVERING OwnerlContr: IN Inspector. lig CALL 447-9:50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODER• r UIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI Date Recd i PR/04- CITY OF PRIOR LAKE OF ZONING COMPUILDING LIANCE TEMPORARY CERTIFICA -�r^ II t � l AND UTILITY CONNECTION PERMIT C6 [10' c Z3.0 t. White File PERMIT NO. I a6 • 2. Pink City ��HNE 504 3 Yellow Applicant ease ,e or ,rint and sin at bottom) �Q G(office use) ADDRESS J s s u 7 5 LEGAL DESCRIPTION(office use only) IIIP O C f / '� ? ' PID j5 LOTBLOCK ADDITION r _ L' r = OWNER m 0 (Phone) (21 �' � T Q ' 3 3 b , (Name) I"I a r t 'l a 5 4 /'Sn �,/ (Address) 2 S 4 a I 0 , ► 4 lo—) BUILDER (Phone) S':l 3 y S ` �' e y 7 (Company Name) Pella Northland JG CI,25th Ave N. Ste 100 (Phone) (Contact Name) Plymouth, MN 55447 (Address) Lic#BC645090 Ph. 763/745-1400 New Construction ❑Deck ❑Porch []Re-Roofing Re- ding ,❑Lower Level Finish LI Feplace an TYPE OF WORK 0 , O f w ,!1 Quo 1'01) 164.01) i DAddition DAlteration ❑Utility Connection _ S C �Misc. �� CODE: ❑I.R.C. ❑I.B.C. �� pe of Construction: I II III IV V A B PROJECT COST/VALUE $ cupancy Group: ABE F HI MR SU (excluding land) - ivision: 1 2 3 4 5 to all existing state and local laws and will proceed in accordancwith surbmritt ncplans.ded 1 inspections. are that the building 1 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 aobove-mantievok property and that all tis,construction will conformgmayuponproperty uffi ':1 can revoke this permit For ust cause' Furthermore,I hereby agree that the city official or a designee e enter� 0O L_ _ pd C V S 7^ Date Contractor's License No. Signature Park Support Fee # Permit Valuation1111111111.11111 UINIIIIllIl ©_ Permit Fee gillirgi Water Meter Size 5/8"; I"; IIIIIINIIIIIIII Plan Check Fee1111.11111111...1' I. - State Surcharge ® • Pressure Reducer 1111111111111111 Sewer/Water Connection Fee # PenaltyIIIINIIIIIIIIIIII # IIIIIIIIIIIIII �_- Water Tower Fee - IIIIIIIIIIIIII Plumbing Permit Fee Builder's Deposit Mechanical Permit Fee 111111111111111111 Other Sewer&Water Permit Fee 111111111111111111111 TOTAL DUE 1111674111111111 Gas Fireplace Permit Fee _ ,r Recei.t No. This Application Becomes Your Building Permit When Approved Paid L, , s� B ii4 Buiiditi 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 n 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 ssucd. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake.MN 55372