HomeMy WebLinkAboutROOFING 08-0633 (4-UNITS)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ltrSLI - 4.1~O
(\ a fr---u
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
u,^J<; Rett';
COMMENTS:
t1\OSP_ t-Lt l': (-e
. A
N. t.J 1Jc~
1-P;'k,
TIME
f3 -8 &33
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR&R~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspecto : 17 Owner/Contr:
j/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
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
8 . If,OtJ
(Please type or print and si~ at bottom)
1. White File I PERMIT NO .? j
; ;~~w ~~~Iicant .08. o('3~ .
ADDREJSS
'115 i / W70
I
LEGAL DESCRIPTION (office use only)
t 44~~)
{"tJ
1/32- / '-//3l,
I
ZONING (office use)
L-:r tl)e.:./-C
LOT
BLOCK
ADDITION
Pill
OWNER
(Name)
j U\'L
'fI7l'
~; ~ pvv--A-
,
~.5 S"fa~:I-
(phone) (Cf~Z) 2-3.7- 6C> B I
(Address)
BUILDER ___ I
(Company Name) I ~ !<.uzov.rf7 7..--5>
(Contact Name) T~. ~ S~+^-
(Address) 7003 W. L....,Q- "Stf~
r
~. (a,; .~
(Phone) 8~2.) 22 '-f - 22-0 I
(Phone) -\r\ 1) "3 <"0<'0 - t~17
S-~ z '-
~1vI'" 2.03<1l.~3L.
/iu1
TYPE OF WORK. 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $/~,sGJO . ~
. ,
(excluding land)
I hereby certify that I have furnished information on this application which is to the be;"t of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
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 inspections.
X -; .Ii!JU.H (/1-- 11ft? 263,",2..63 2.. ~01
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
I $
1$
1 $
1$
1 $
j$
1 $
1$
/l I $ /SZ.. 0 0
Rkc~Pt No. ~ ~ 7'7
JJyl - /
r
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance JAd may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
#
Plan Check Fee
State Surcharge
Penalty
#
Plumbing Permit Fee
Mechanical Permit Fee
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I Paid
I Date
Ire.." vp.
C,j 9. (.IE
......
Buildinl!; Official
Date
Planning Direetor
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any