HomeMy WebLinkAboutBUILDING PERMIT 16-744 CITY OF PRIOR LAKE ATE TIMEINSPECTION NOTICE SCHEDULED �j£
ADDRESS 1 4
0-r 0
OWNER .�
CONTR.
PHONE NO. PERMIT NO. /(r+ -
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ EX/GRAD/FILLING
❑ FRAMING 0 WATER HOOKUP ❑ COMPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE I
F
❑ FINAL 0 PLUMBING FINAL ❑ FIREPLACE
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❑ SITE INSPECTION 0 MECH FINAL ❑ SLIME AIR TST
COMMENTS:
At
I
WORK SATISFACTORY,PROCEED
❑ ORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: QR_� _ Owner/Contra
.c ______CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INsnoTI
i Pia% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
40e• TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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1 Z x
pi AND UTILITY CONNECTION PERMIT
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44NNEscro. I. White File
2. Pink City 1 PERMIT NO. fze, -744-1
3 Yellow Applicant 1
4111/ type or print and sign at bottom)
ZRESS ' ZONING office use)
I 1k4PLI S 1ace Cv(c,I,e_ (\ __
LEGAL DESCRIPTION(office use only) .
LOT BLOCK ADDITION PID
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(Name) el\Me (Y31!C (Phone) 950' LICO
(Address) .
I BUILDER
(Company Name)?Ntrvtt.)....)0A 7:no PkrvIt.(5-e.r,--. ' (Phone) (051 - 4,4--Li 0 58
i (Contact Name) (Phone)
I (Address) lei 2 0 co.-?.8. C " LA34 sl- - \- cf;xe.kiNtl-e. 1 M t .) 551 .
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TYPE OF WORK CI New Construction I:Deck OPorch OR ••ofing ORe-Sidinf OLower,Level inish 0 Fireplac n
CODE: DI.R.C.
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Type of Constmction1=1I. c
:
pancy Group:
sOABd. .on OAlteration OUtility Ccinnection., :sc.
0
1
I II IIIIV V AB
ABE F HI MR SU
51 '
ort Vc15.7/1
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PROJECT COST/VALUE $
rion: 1 2 3 4
(excluding land) f
I hereby certify that I have furnished information on this application which is tt the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-ment.n d property and thi ,nstruction 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 r., Ice this permit for se. Furthermore,I hereby agree that t'e city official or a designee may enter upon the property to performlred rispeenons. /(110 lith
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' tAci) -bc.taciSg3.-+ .( 4i 0^-0/
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee 1 $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ , Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # 5
Plumbing Permit Fee $ . Water Tower Fee # $
:
Mechanical Permit Fee $ Builder's Deposit ' $
,
Sewer&Water Permit Fee $ , Other $
Gas Fireplace Permit Fee $ ,
TOTAL DUE ' 1$ ( 04: (56 1
'
, , • 2.3 t 5:3(
This Application Becomes Your Building Permit When Approved; I Paid 10 41, 1 Re ipt No.600
1
Date --1
( - 1 4,1 0 I By .
'
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
fit
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 _
'
Special Conditions,if any
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