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HomeMy WebLinkAboutBUILDING PERMIT 16-707 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED J ADDRESS 9 zz Ni.1,` h d Qts OWNER CONTR. PHONE NO. PERMIT NO. `/ CP- 7 C 7 ❑ 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 COMMENTS: �' C -'le f".t/c-) <13-1 .t."—A)" -, CORK SATISFACTORY,PROCEED CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector. ti _,;�_ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! I!SNOTI Date Reed CITY OF PRIOR LAKE BUILDING PERMIT, / ilic-nto � ZL� kJ� TEMPORARY CERTIFI CO NES ONIN E�MpI,IANCE `�` � AND UTILITY (�`1.whin CitPERMIT NO. /" it -2. Pink CityAtESO�� 3 Yellow Applicam ZONING'LO1, take use) • E, or • and si, at bottom --- ADDRESS S . .-. . _____:Rj____. LEGAL DESCRIPTION(office use only) PID - /� �) �J LOT/ BLOCK / ADDITION Chet') ad I�— =- • OW1sTER (Phone) (Name) --Y $.•• - �11 IIG � (Address) ¶.. .1 , .de, 00..v_ ` T G( e S BUILDER C �� i�,. �► c. (Phone) )- (Contact Name) R ` (Phone) (Contact Name) ' - a • S r "V• . (N" ,err , ICL Al (Address) 3 S r i TYPE OF WORK 0 New Construction DDeck DPorch ?e-Roofing DRe-Siding °Lower Level Finish 0 Fireplace ❑Addition QAlteration (]Utility Conn coon 0 Misc.• h D O - CODE: ❑LRI.B.C.� I II III IV V A B PROJECT COST/VALUE $ I y c a Construcuc tion: A B E F HI MR SU (excluding land) ,cupancy Group: 1 2 3 4 5 b iyiSiof: agent for the state and focal laws and will proceed in accordance with submitted needed saware that the building I hereby certify that 1 have lirmished information o will application all which is to existing the best of my Imowtedge tine and correct. I also certify that I am the owner or authorize ob official canantievok this permitr and that all construction that the city official or a designee may enter upon the property p ct inspections.O revoke this for Just cause. Furthermore,l hereby agree C C- 6 O I I J Date X Contractor's License No. Signature �■• Pilisisiiiiiiiiiii ark Support Fee # immumi Permit Valuation -©killIIIIIIIIIIIIIIII t 1 !IMIMgIIIIIIIIIIIIIIUI 'gb Pressure Reducer 11=111111111111111111 , © Sewer/Water Connection Fee # :, Penalty # ©- 1 Water Tower Fee Plumbing Permit Fee1111111111V4111111 MIIIIIIIIII Builder's Deposit UNIIIIIIIIIIII SewMechanicalr Permit Fee ©_- Other Sewer&Water Permit Fee TOTAL DUE Gas Fireplace Permit Fee �_ �Ir/���/ Recent No. • Application Becomes Your Building Permit When Approved Paid � B This Date Bmkhn'Official Date proceed as requested. This document r Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be •his Is to certify that the request in the above application and accompanying documents is in accordance with the City ZoningOrdinance andmay en signed by the City Planner constitutes a temporary . ed. Special Conditions,if any Date Planning Director 24 hour notice for all inspections(952)447-98- 4646 Dakota Street Prior Lake,MN 55372