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Building Permit 12. 0831
DATE TIME CITY LA INSPECTIONOFPRIOR NOTICEKE SCHEDULED i ) (e, G y � ADDRESS ;2 qts -44.14.. .— g 4.12-1/e- OWNER CONTR. / PHONE NO. PERMIT NO. / 2. - 4,3/ ❑ 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: C� N.05k_ '1"QQ..,- -T (sff WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT ,CALL FOR REINSPECTION BEFORE COVERING i7 Inspector: Owner/Contr: CALL 44 -98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI \, - w 1l • • O 0 u o 0 I • ,� � 000 0 rr- • �1 m• 3 N yOm Z 2 v ro -4 a H • Z rzn �5z>Z o y �� 'C ooh `• —1 mss 0 0't 0 to 21 a7 p`� Z Z z� ! O z r- • co n 7C 0 73 Z 7:10 • p x m O 000000 De Cif 11'4 , ' -0 CA C n , ��� =;TARE " „ 9273737322 m ■ y trjj o 0 �1 z�pp s —z 0 _ O Z CO 1 — rD-T $0 73 7.71 E $111 > CCOz m 8 0 v zI � O O O O O D R' prn : ommso u() m D00Z� '\ N5 z "' M4,. PR/O ��( � CITY OF PRIOR LAKE BUILDING PERMIT,v TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd AND UTILITY CONNECTION PERMIT .Z / Z N ArBSo�� 1. White z rinl csTy PERMIT NO. / 2 . C. j (Please ,e or,rint and si . at bottom) s. Yellow Applicant ADDRESS ZONING office use 9q6 ( ) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �A (Name) 7 ,5t6^0,341 (Phone) 7(Q3 (Address) t.. v a. BUILDER (Company Name) (Contact Name) (Phone) (Address) (Phone) TYPE OF WORK ❑New Construction DAddition eCOU['Porch one D ne-Roofing DRe-Siding DLower Level Finish ❑Fireplace ['Alteration ['Utility CODE: R.C. DI.B.C. Type of onst action: ❑Misc: I II III IV V A B Occupancy Group: A B E M R S U ^� Division: 1 2 3 4 5 PROJECT COST/VALUE $ Ww (excluding land) I hereby certify that I have furnished information on this application which is to the best of my Imowledge 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 use. Furthermore,I hereby agree that the city official or a designee mayter upon X ,/�%���� enpo the property PertY to perform needed inspections. Signature 7/2441 ot. Contractor's License No. Date Permit Valuation 4-©p0 r- Park Support Fee Permit Fee # $ $ SAC Plan Check Fee 3' # $ $ c.c., .15- Water Meter Size 5/8"; 1"; State Surcharge $ $ Penalty $ Z, _ Pressure Reducer $ 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 $ J TOTAL DUE l'z-1/ 1 `Z. $ rtir GI c-- This App "LO i '' ecomes Your Building Permit When proved / G)S' « Paid7/ 7 ceipt No. /L I Date 7. Z 7, /2- I L - Buil din.: i,-. 141111111111116, Date r This is to certify at the request in the and accompanying do ents is' accordance when signed b C': Planner constitutes a tempo Certificate of Zoning ,mplian. and allows construction to commence. Be.re occupancy,with the City Zoning e,O , .re andmay proceed as requested. This document issued. %. a Certificate of Occupancy must be 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 DEPA TMENT PRIOR LAKE BUILDINGR AND�NSPECTION INSPECTION RECORD SITE ADDRESS • IL � ` .• TYPE OF WORK USE OF BUILDING PERMIT NO. 1:1Ki � DATE ISSUED BUILDER PHONE NOTE: THIS IS OTRA PERMIT FOR ANY OF THE INSPECTIONS `ro`�'! THE PERMIT IS BY SEPARATE DOCUMENT FOOTING "o" DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED limmignimmain filicaammuntraimmi FOR ALL INSPECTIONS (952) 447-9850