HomeMy WebLinkAboutROOFING 08-0727
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'10 'Z1f
e 0 h-r--",>
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
PiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
!:) 0 MECH FINAL
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COMMENTS:
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DATE
W"",
TIME
.R -727
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~LL FOR REINSPECTION BEFORE COVERING
Inspector' 0') Owner/Contr:
CAL~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNor,
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/4 o~'-l
({",rf'CJe-f':S,
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LEGAL DESCRIPTION (office use only)
J~ /Ve
LOT
BLOCK
ADDITION
OWNER
(Name) Roh~
(Addres~) /t.{ OJ. "
(Phone )71)/
I (
A-I Ltj k .(-
Rv-ry ~'J J.;-. /14
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9. 9. ~fJ
\ PERMIT NO. Ofj, 07 z.. 7
. I
ZONING (office use)
PID
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~1b3
(Phone) {;St 77'/ - ?o z V
(Phone) 7'.>~ be:) 7/t..;/?
BUILDER
(Company NameLPrvpc.;ry {I<4A' ^ S~'ltd7'::4'\'<'
(Contact Name) f}..",
I (Address)Y~~ Arl(&Vl~~}~ .')c~=-C"c,....A ",.,... 5D-Z-z.-
TYPE OF WORK 0 New Construction ODeck OPorch ~oofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon o Alteration o Utility Connectlon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
9 &~ ; ~
"
I hereby certify that 1 have hlrmshed mformation on this applicatIOn which is to the best of my knowledge true and correct. I also certIfY that I am the owner Dr authOrized agent for the
above-ment\lJned property and that all constructlOn will conform to all cxistmg state and local laws and will proceed in accordance with submllled plans I am aware that the buildmg
offiCIal can revoke thiS pelmlt for Just r1e Furthermore. I heleby agree that the crty offiCIal or a deSignee may enter upon the plopeny to perform needed mspectlOns
; -L>"~fi1' rfl~~ ~C5-7J(s-Y
~ -- SIgn re Contractor's License No Date
.r
Permit Valuation
Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
L Date
-pC. - I
'I./I,Ii (/
. ,
l3uildll1g Official
Date
# $
# $
$
$
# $
# $
$
$
/) , $ 7(g , ()t)
f ) -
Le9liPt No. ,5(,Iil'1
2 .
ThIS IS to cerllfY that the request in the above applicallon and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requcstcd TIllS document
when signed by the City Planner C'tll1slltutes a temporary Certificate of Zonmg compliancc and allows construction to commence. Before occupancy. a Cerllficate of Occupancy must be
isslIed
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