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BUILDING PERMIT 16-848
DATE TIME CITY OF PRIOR LAKE r �[ INSPECTION NOTICE SCHEDULED t ADDRESS 1(.1 i Ll 3 C'1 OWNER CONTR. PHONE NO. PERMIT NO. / G - g ❑ 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 015L-FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: 4 r cio,_/, 9,... i: WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC •••c, CALL FOR REINSPECTION BEFORE COVERING Inspector. 7 Owner/Contr. CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI eN O� PRI0� ,� '� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �;�/I TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x o vi. ,;tri AND UTILITY CONNECTION PERMIT 7 ,&ice \NES 1. White File 2. Pink City PERMIT NO. '� � I 10- Z18 3. Yellow Applicant i e type or print and sign at bottom) RESS I IA L-l.\5 f\S)re il ZO G(office use) 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 06L11 w3-0 OWNE fri ��� �� (Phone) 75-G) - 9?(6 — / ?o 7 (Address) -1 q 14 3 '1' 4 L° U if V°€ w ir- • pany Name) ������. �'��- �� � �r/(Phone) 6 ) go ---697, (Contact Name) 6W ) V"�` (Phone) _ c...I (Address) /Z--/6-30--2a— r J �1�, Pr t © Z- X 1 TYPE OF WORK ❑New Construction ❑Por V,' Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alte a on Utility 'nnec on I II III IV V AB CODE: ❑I.R.C. ❑I.B.C. ❑Misc: Type of Construction: panty Group: A B E F H I M R S U PROJECT COST/VALUE $ ion: 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plan I am aware that the building official can revoke this perm'/. ' st caus: Furt - - I hereby agree that the city official or a.• -e may enter upon the property to perform nee d in •-ctio it/ / x f . tractor's License No. Date Permit Valuation Park Support Fee # $ Cikl Permit Fee $ (Q3 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ J Pressure Reducer $ Penalty $ 6 Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ i• d/ Gas Fireplace Permit Fee $ TOTAL DUE `00 $This Application Becomes Your Building Permit When Approved Paid 1 V Receipt No. C4 Date -7y'22,,1 G By Sl'W 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 gned 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