HomeMy WebLinkAboutROOFING 07-0467
DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~f)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
KFlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
fi CORRECT ACTION AND PROCEED
o CORREc;rwoRK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
G_ll.u7
(Please type or print and siJ1;n at bottom)
ADDRESS \ . f2 "
3'-1 S;; W Il OW Q€-ctc..A Tr4 I I
I White
Pink
Yellow
File
City
Applicant
PERMIT NO.
7- 4')
5,0
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.. s-: l 0 1. 6 6 c.. . D
OWNER
(Name)
.j Ct SOY\ 4- K t:tf I
3Lf57 LJ,'--(/6u)
~1l.L
6~J'\ I/"l\. ~ (
(Phone)
~5"c;-1 fc~g
(Address)
S.\;J,.
BUILDER
(Company Name) ~U..h,\e r
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch lt1"Re-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddltlOn OAlteration o Utility Conne~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o MIse
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have turnlshed mformallon on this applicatIOn which IS to the best of my knowledge true and COlTect I also certlty that I am the owner or authOrIzed agent tor the
abnve-mentIOned property and that all CllnstrllctlOl1 will conform to allexlstmg state and local laws and will proceed in accordance with submttted plans. I am aware that the buildmg
~"e'"j{:''' "," e'em , "'" ':;' """"nffim '. , """" .'W" ,"" '"' no "m,,,, "e " ".""",, m", oem" """" ,", ,m<<", ,,, '" ""m ""."" '""'''''''''
nature Contractor's License No. Date
Permit Valuation
2 0:J~-
,
Park Support Fee
SAC
#
#
$
$
$
$
$
$
Permit Fee
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
I
i $
I $
Builder's Deposit
Other
$
Paid
Date
- f(~
j~ Id ",
..; , ,~.
$
:/'1$
Re lpt No.
I .
U
7' t;O_
TOTAL DUE
.:;> 40/ Iv
ThIS IS tu certify that the request m the above application and accompanymg documents IS 111 accordance with the City Zoning Ordinance Jnd may proceed as requested. ThiS document
when signed by the City Planner Clll1StItUtcs J tcmpor~llY Certificate of Zomng compliance and allows constructIOn to commence Before occupancy, J. Certificate l)f Occupancy must be
iSSllcd
Planning Director
Date
24 hOllr notice for all inspeetiolls (()52) ....7-9850. fax (952) ....7-..245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any