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HomeMy WebLinkAboutBuilding Permit 14. 0530 • �I DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED $Ill '7 k ADDRESS S—`"1 c( S � 1 OWNER CONTR. PHONE NO. PERMIT NO. -‘, 1'15 — ' y.S;30 0 FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING W r 0 FOUNDATION 0 MECH RI 0 COMPLAINT 0 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: Ie' r C r. ORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED 0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector.V -.e _)-----1 Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 04 PR/0,1 ��1 � � „ /-: CITY OF PRIOR LAKE BUILDING PERMIT, 91 - �SDate Rec'd \ t' l TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / ('L Al AND UTILITY CONNECTION PERMIT (G /57 r*N E S° • I.White File 2. Pink City 3.Yellow ApplicantI PERMIT NO. 1)4‘ �!,30 (Please type or print and sign at bottom) J ADDRESS ), f LI I )5.' ZONING(office use) y lLJ � l LEGAL DESCRIPTION(office use only) LOT 3 BLOCK 6 ADDITION �&/ Al, ( / 7l/ PID W-.7*aglY- ©tiLS,0 (Na 17\C 1 4 1-A Ism A/1 l\bY) (Phone) £ 1 - Li S (Address)�''n-'e, BUILDER r a� (Company Name)/1 D 1 1n d til bY, t lni (Phone) (_()S1 — 7 7 n-9 01 1 (Contact Name) �etA. L, Address 1 ` 14 e , I (Phone) (Address) I l I , Gaut,( ) YY JAI st,ci TYPE OF WORK 0 New Construction ['Deck 0Porch ['Re-Roofin g ['Re-Siding ['Lower Level Finish 0 Firlace alteration ['Utility Connection � ipeODE: DLR.C. DLB.C. 0 Misc: i���'WS of Construction: I II III N V A B c ['Addition cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 1 D+ .j ivision: 1 2 3 4 Sexclu ( ding 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- .tinned.roperty 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 .'cial�•4 ok I' •: it f. 'rat cause. urthennore,I herebya / /�, � � gree that the city official or a designee may enter upon the property to perform needed' ctions. it Signature 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 ! This Application Becomes Your Building Permit When Approveda' t Approved� �, � Receipt Na� I S� I iX" oI J By f '" V3 - f I 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 Tedsigned 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,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372