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HomeMy WebLinkAboutBUILDING PERMIT 16-1301 DATE TIME CITYINSPECTION OF PRIOR LAKENOTICE SCHEDULED — )547( ADDRESS /- 0 OWNER CONTR. PHONE NO. PERMIT NO. L° �� -��✓; ' 0 PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOOTING 0 MECH RI 0 COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FOUNDATION0 FIREPLACE RI 0FIREPLACE FINAL ❑ INSULATION 0 SEWER HOOKUP ❑ FI PLA AIR TSL ❑ FINAL 0 PLUMBING FINAL FINAL ❑ SITE INSPECTION 0 MECH COMMENTS: • It.-- ^1-' WORK SATISFACTORY,PROCEED O CORRECT ACTION AND PROCEED O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING pwner!Contr: Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 0.....\\ ,r-,,,_,..!,,,,,,04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4f%'NESO.0P I. White File PERMIT NO. 2. Pink City `6 _ /.3 1 3 Yellow Applicant se type or print and sign at bottom) ili DDRESS ZONING(ogre use) o35 -I ,, sE Mov La , r14 AJ 5533-a LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (ONaWNER Te,v V' vi - ritr n5 Q (Phone) jet)))V'— (Q( 1 -1-- (Address) ;'Q3 Siti7p,5*--,q,... P v o r mite I'" liv 55 3 -t (Company Name) 10 C L G-X kiV oI O V (Phone) Ce2s-Oigti — L I &co, (Contact Name) I (Phone) (Ph e (Address) Lig. ! S v 0_ 1) 13,f 1kL SIi I I 0 B k ' t�� CC , V1.1 IA) 55 1/ 7--- TYPE OF WORK 0 New Construction ❑Deck ❑Porch QtRoofing KRe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration DUtility Connection CODE: DI.R.C. ❑I.B.C. 0 Misc. of Construction: I II III IV V A B J— ) 1 0© PROJECT COST/VALUE $ iiieu panty Group: sion: ABE F HI MR SU (excluding land) 1 2 3 4 5 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-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 is.> '.r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspe ions. X �,-4 14 0 ice_ gc:C210s - /0 �1/0� Ir V Signature OF Contractor's License No. Dat 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 Approved Paid /C) Cit) ' Re ipt No. 73i y _. Date tt, C(y Building Official Date Ilsto certify that the request in the above application and accompanying documents is in accordance with the CityZoning Ordinance and may proceed as requested. This document signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows const action to commence. Before occupancy,a Certificate of Occupancy must be d. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372