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HomeMy WebLinkAboutBuilding Permit 14-0379 - Re-side DATE TIME CITY OF PRIOR LAKE SCHEDULED INSPECTION NOTICE ADDRESS OWNER CONTR. �j Ll PHONE NO. PERMIT NO. i p PLUMBING RI ❑ EXIGRADIFILLING ❑ FOOTING 0 MECH RI 0 COMPLAINT p FRAMING 0 WATER HOOKUP ❑ FOUNDATION 0 FIREPLACE RI PIJACE FINAL ❑ INSULATION4 0 SEWER HOOKUP 0 0 FIREIREPLAIR TSL 1 FINAL 0 PLUMBING FINAL 0 a SITE INSPECTION 0 MECH FINAL COMMENTS: p )(WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING Owner/Contra Inspector: CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURSIN &�SgpETi 'I CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH INSNOTI ellA f,�. �� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT4 I 6, 1 /It- jkNEso 1.white File . 2. Pink City ;� 3.Yellow Applicant PERMIT NO ill. 3/79-) (Please type or print and sign at bottom) ADDRESS /^ ZONING(office use) LEGAL DESCRIPTION(office use only) / LOT BLOCK --3 -y ADDITION �.1�-C-&v`S 3‘../'21-[1 A-_LLN PID')1 5" 595-6'o OWNER ^A _ (Name) /Y `t Ck\ &::L i 1.tz\s V sz -s (Phone) 9 5c2 9.3 6- 9 4/LIS.' (Address) 3'7`�.j 1 -1-.F-r~�a, C-Rat�-z--, i a t nom. L1krid__c= BUILDER (Company Name) (` ..RCi''rb1'l"-- C`O t t..OCCI-S (Phone) %—'(;). ' ?. g -/a C50 (Contact Name) `.S i fes._V\‘. to (Phone) 6/a — ' y - SS,6'a (Address) �7 3 �L© � Mes t (? r� .Jo�--►1 i r!� 3.,MIFLY:-fes 41A 5 Y3f TYPE OF WORK 0 New Construction ODeck ❑Porch ORe-Roofing Pe-Siding OLower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection c( iillyCODE: ❑I.R.C. ❑I.B.C. Misc: mr,,,c AN,u K,_`L NST�t, Q�v n n.I 26 n? pe of Construction: I II III IV V A B / ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ / Cfl 91 y Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information .n 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-mentioned property a.- that all cons . '.n 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 ,it for just cause. hermo y hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 41 AP, 13 C i 6 -t (-W-1-- s' /sc/Do iy Signature Contractor's License No. ate Permit Valuation 7I t '7s Park Support Fee ## $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 6: 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 Cj,'7� 1 /1� / / This Application Become Your Building Permit When Approved P t Receipt No. 1� )z.11.5' 511q/ 14-i De � . ��j _I ' By , ding O' Date fThis 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 s hen 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