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HomeMy WebLinkAboutBUILDING PERMIT 16-910 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ?PA ADDRESS I b L 3 CLt L A- OWNER CONTR. PHONE NO. PERMIT NO. ilQ td ❑ 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 ,&FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: W;LuQ ,y cr a WORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED ❑ CORREC ,CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! IIVSNOTI (I_,P_.R \\� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd / ' \, '�x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Y.,l� /�© "" \it� AND UTILITY CONNECTION PERMIT \ NESY 1. White File PERMIT NO. ! ! Q -0 2. Pink City 3. Yellow Applicant e type or print and sign at bottom) f) KESS / n (� ZONING(office use) CC\JW - 4 < Pis o,_ /' kc— M N S'3'37 2 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Nam)R / 4(/�S 714/1//e4 (Phone) 752 Y7- 37Y7 / (Address) BUILDER / -�/ (Company Name) 6 A$ 71-714 4.7 I(/°fes Oh CY®/$ (Phone) 6/i - 76z. — J' 7 (Contact Name) CO✓ /c,% —.4.-o e,Sci (Phone) (Address) 34/3 l PIas,p.,,f' 4frl • S 4,11,4neat} 4N P5 )! TYPE OF WORK ❑New Construction ['Deck ['Porch ['Re-Roofing ge-Siding ['Lower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection ,` .1 CODE: ❑I.R.C. ❑LB.C. Mist: W��/�0�f T e of Construction: I II III IV V AB fliopanty Group: ABE F HI MR StPROJECT 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 plans. I am aware that the building official can revoke this permit for just caus . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. XC.--1.-‘2c _ r3C112—oci ?t /6 — /6 ignature ���, ! Contractor's License No. Date 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 $ It' Q d /0, -,-.6This Application Becomes Your Building Permit When Approved Paid j(,/9'_ '� Rece.it o. b' Date g,J!E_/ By 1 f 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