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HomeMy WebLinkAboutBuilding Permit 11-0819 DA TIME CITY PRIOR LAKE IN & A ci# INSPECTION NOTICE SCHEDULED ' ADDRESS /73 J J TX-- OWNER CONTR. / PHONE NO. PERMIT NO. ❑ FOOTING D PLUMBING RI ❑ EX/GRAD/FIWNG ❑ FOUNDATION 0 MECH RI ❑ COMPLAINT ❑ FRAMING ` 0 WATER HOOKUP ❑ FIREPLACE RI INSULATION 0 SEWER HOOKUP ❑ FIREPLACE FINAL FI 0 PLUMBING FINAL ❑ GASUNE AIR TST ❑ SITE INSPECTION MECH FINAL. ❑ COMMENTS: I 4* �i/ © 1 a. g GL' f/G.,1 AWORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WO , C L`EOR REINSPECTION BEFORE COVERING Awl: Inspector. a 7.VEM ■ = • ntr. CALL 447 FOR THE ` "T INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ration o ff - PR/0 ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE e. Z3, U ' tz, AND UTILITY CONNECTION PERMIT A I wine City PERMIT NO . I! , e q 2 Pink City / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /- 733 5 C) ' O 1 \ 1 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIN ((Nam 1 \ KJ`e.- 'r&-- ‘ `\ EA__ (Phone) ( ( 7) 8 fo 2-GO (Address) ai t U G,-y...--\r i h s S SZ)C —t \T 0 BUILDER (Company Name) D t c_ -- R,v.., t e_ rS \41 V5 t---L (Phone) ( 5 (Contact Name) a.ap. . �-42- (Phone) (p ( - 7 50 r75 (Address) g L ( Lc7c� (rn 0• 1 ys f\ S Al A) � � 3 C ) TYPE OF WORK ❑ New Construction ❑Deck ❑Porche- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Conne on CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have , ished 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 -me , . - . property an ; 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 c revo' this permi �.r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x x411 -� - � irja Contractor License No. � Date Permit Va : tion 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 , $ #7 9 71 lir This Application Becomes Your Building Permit When Approved Paid ZIRMINNIIIITcei. t No. triaafil I I M Date Building Official Date / This 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 when 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 issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372