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HomeMy WebLinkAboutBuilding Permit 11-0473 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED de) // /e. P ADDRESS l 5 PA r=(�- f G ► Ave. OWNER CONTR. PHONE NO. PERMIT NO. 1/ - 473 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ,INSULATION ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION APP/2-c) ❑ MECH FINAL COMMENTS: vc L 1✓ sc: F L-6 .WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT (K, A Q REINSPECTION BEFORE COVERING Inspector: 4 ner /Contra CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI of PRtp. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT f ' / / 4'00NESO.0" 1 While File 2 Pink City PERMIT NO bp. It-41; 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 -Ms , Pottv_ *c.o\lt-f A / Pvi orLao, MN SS 312 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER '1 `i^ I 1 t^ d) y 1 \L (Phone) \ 011- z - i(e - 7L) , L) (Address). l l V 1 1 - kr) I /a6 ,v T Y(.l ` ' 1 k1 () �(/ t BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ['Utility Connection nn `` , CODE: ❑I.R.C. I.B.C. .4 Misc &/, Ai 4 ( �A t✓ S e Type of Construction: I II III IV 0 B PROJECT COST /VALUE $ Occupancy Group: A ® E F H I M R S U (excluding land) Division: 1 2 3 4 5 t I hereby ce u ify that l have furnished infor... on on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above- nuo ed property and hat all c tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official an re ke this permit % r just ca , se. Ft 'thermore, I hereby agree that the city official or a designee may enter upon the property to perform needed msp actions. X .4.-41.■ , doi. Alb. (0 s • I i Contractor's License No. Date Permit V, uation -S-C1 ©. 0 0 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 I $ Other $ Gas Fireplace Permit Fee 1 $ TOTAL DUE $ 4-1 7_5 This : .. tic tion , om s Your Building Permit When Ap roved Paid "►- ..• l s Receipt z 7'6 i I Date (p /0 t t By Building .-- Date This is to ify that the r' .nest in the above application and accompanying docu nts is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sigyte y t . Ci, ' an er constitutes a temporary Certificate of Zoning co pliance nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued / J I — ,4.3 "571 - Ar -J /�1.� /0 11 Planning Director ate Special Conditions, if any 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372