HomeMy WebLinkAboutROOFING 08-0550
7(ti~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 14,?,00 0t~(t . / 1 (
OWNER CONTR~D
PHONE NO. PERMIT NO. ~ - 55D
".
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION eO MECH FINAL 0
COMMENTS: . roc. \"'
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ CORRE1JrrRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:(f{f 7 Owner/Contr:
CALL ~~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE IoN ae
INSPECTION NOTICE SCHEDULED
ADDRESS ~ L{ ;'00 ~~~~
y
OWNER CONTR.
PHONE NO. PERMIT NO. C-5~CJ
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o 'JJECH FINAL
t___ r~
V
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
SITE INSPECTION
I . ^
/'"/. ~_ rff I
c......--- L (/ &,.A:.... V .....-..........
,..... (
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jl1' WORK SATISFACTORY. PROCEED
o CORRECT ~ION AND PROCEED
o CORREof wdsIJ CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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Lll i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERllJllCATE OF ZONING COMPLIANCE
AND L 1ILITY CONNE\...I 10N PERMIT
(Pleue tne or IIrint and .... at , .".. )
ADDRESS
I. While File
2. Pink CRY
) Yellow AppIica..
14 8M Tim t) Ih i:J Ave iii t/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name)
ADDITION
Date Rec' d
PERMITNO.tJB_05~D I
ZONING (office_>
PID
YVlI'U'iae( LUvljhf-
/4 -3 u 0 77' yYrt 0 fA C-f ,Av'-f! ILl ~'
<.J
r=: Name) (3 ~e--I- r:; v, le-r/c'J}\5 (phone) 152 - ;?f{--J -/&/ ;;;
(Contact Name) (IdS 'X1;;1 /~~t;f ~ ' , . (phone) '70 Z - Z 'f( 7 ~-j //7 J -3
(Address) ('l)/l/i!;L/J///!- 4):"G- o. j~//)7>m/.Vl~-!?J-M1 MN ~~)---IJ
(Address)
(phone) q 6~ - L/ .t--J 7- 8 {J 3 S
TYPE OF WORK 0 New Construction DDecIc Dporch g(Re-Roofing ORe-Siding DLower Level Fimsh 0 Fireplace
DAddition OAlteration OUtility Connection 0 Misc.
. CODE: oX.R..C. oX.B.C.
Type of Ccmstnu:tion: I
Occupancy Group: A B E
Division:
9/ tJo. tJ7J
n mIVVAB
F HI MR.SU
I 2 3 4 5
PR.OJECT COST IV ALUE S
(excluding land)
I bcrcby certify tball ba~ fumislled information onlhis application which is 10 lhc best of my Imowl. ~ and _.""" I also certify tbatl am the own~"I' or aulhonzcd agent for the
above.mcnltoned . ". ,.... ancllhat aU construction will conform 10 aU existing stare and local laws and will.. ...J in accordance wilb submitted plans. I am aware tbat lite building
:ciaJ (r;~;;t ;0~~""'''' bcrcby apft lbatlbeci~ officWba6& 4 enter upon Ibe ,Or ".)10 perform need~7i;;nJc) y
Signa~ Contractor's License No. ' Date
'-'"
I Permit Valuation
I Pennit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
S
S
1$
I Park Support Fee
I SAC
I WaterMeter Size5/S";I";
I Pressun: Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Buildinc Permit When A".I ,. ed
Buildinl!. Officiol
I Paid
, Date
7&. uV
7 z t; (, f;
Date
# S
# $
'$
I
I $
# 1$
# 1$
I $
I $
/) 1$ '110. to
~'Pt No. .5 (PJ ~. 7
B .
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nus IS to certify Ibat Ibe request in the abo~ application and aecompanying documents is in accordance wilb Ibe City Zoning Ordinance and may r.....J as requested. This doeument .
when sign~"lI by the City Planner constitutcs a ... 'r ".rj Certificate of Zoning compliance and allows construction to commence. Berore occupancy, a Cmiratc of Occupancy must be
issued
PIaDnins r::......
Date Special CoaditiOlll, if my
24 hour notice for all inspections (~21447-98SO. fax (952) 447....245
16200 Eagle Creek Avenue Prior Lake. MN 55372