HomeMy WebLinkAboutROOFING 08-0715
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 11Lf~l ~LJ~/
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OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
t.6 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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...p[ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR(j '/IORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector f,n Owner/Contr: -
~ALL ~.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9 fI 08
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO'08. 07/.5"
(Please type or print and si~n at bottom)
ADDRESS ~
1'1432 C~U~{(~'-/
I
0~
r/L-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
~~~~~~Na~) -:T;-? ~40
(Contact Name) I ~ V) / ~ &.4-0
(Address) ! t{} 30 I3ILI ~J-~ 0':Yr--trL
.--.,
~~JA.)~hOne)
,/ I (Phone)
f1~.
ZONING (office use)
440 5'7J9
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddltion OAlteration o Utility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
x
~ignature
I
,
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Mise.
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
tion on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized age t for the
ruction Will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am (~;:,,1.... that t building
Furthermore, I hereby agree that the CIty official or,~~?9"Z/-R'I/.3operty to perform needed InS(]7 P If) ?
Contractor's License No. Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
(/)
R;tbpt No.
g! .
0--
This Application Becomes Your Building Permit When Approved
Paid
Date
~/b
c:.J e.~ V 6-
Buildlll~ Ofticlal
Date
$
$
$
$
$
$
$
$
$
l
j
1
1
1
1
1
7't. cI 0
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ThiS IS to cerufy that the request in the above applicatlon and accompanymg documents is 10 accordance With the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner ccnSl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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