HomeMy WebLinkAboutROOFING 08-0691
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
g INSULATION
)H=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL r
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COMMENTS:
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TIME
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o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I J ~tY~~nJP S
pfwORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTAJ'oRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I Owner/Contr:
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CALL 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ 2,. 0 Y
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and sifl:n at bottom)
ADDRESS
'14 ~~
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LEGAL DESCRIPTION (office use only)
{..fC6V BLOCK
~
ADDITION
I PERMIT NO. O&Ouql
ZONING (office use)
PID
OWNER
(Name) =--..Bd
(Phone)~ "'1<-- '-!.Jh I
(Address)
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t.A
BUILDER
(companYName)P~rty ~.M !olvh&'A (
(Contact Name) V..u~.-
(Address) ~\ ,y{'u2l.s r',j ~ ~~" f-L .~C~ 2c..~ A
(PhOne)~ )'J) ?9'1 -2tJ ,~ ,f
(PhOne~;J. ?
C.s72-Z-
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TYPE OF WORK 0 New Construction DDeck OPorch ~-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
B
S V
A
R
5
V
M
4
IV
I
3
III
H
2
II
F
I
PROJECT COST/VALVE
(excluding land)
-
I hereby certity that I have hlrnished mformatlOn on this application which IS to the best of my knowledge true and COlTect. I also certity that I am the owner or authorIzed agent for the
above-menuoned property and thai all construction will conform to all eXistmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buiIdmg
official can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspeetHlnS
X \A~/nr;:~~
'7 )l'fgnature
I
E
;).0 r? ~ I 5-V
Contractor's License No.
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
70 /
QZ_w
o
Buildll1!! Ollicial
Date
$
~ooo. -
~_I-Oj'
.. Date
# $
# $
$
$
# $
# $
$
$
f/ $ 7(0. tf2}
1leceipt No, ~77f1?
$)1
j
ThiS IS to eertity that the request in the above application and accompanymg documents IS 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construcllon to commence. Before occupancy, a Cerllficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any