HomeMy WebLinkAboutROOFING 08-0689
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jil FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
1/1'J..7./~
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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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/. WORK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREU:t, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~, Owner/Contr:
CAL_ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Cf2
~Yq'10
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and sil!:n at bottom)
ADDRESS
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NE..-
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER J \~
(Name) \. 0" n 4
Pe.<j<j'J
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(Phone) q S~ - 4 40- 3 ~y~
(Address)
BUILDER I . , n
(Company Name) W~~:)~~.{) WD '..)iI2..L.LC+;on
(Contact Name) K p, e..f-~
(Address) '5<a4'1 fv\~/,{Ol2-lA-l..- f\vt..~. St\\1 w..de{, tYH\
9. z ~ 0 Y
PERMIT NO. y..- (p ~ '1
,
ZONING (office lIse)
PID
(Phone) (oS 1- y~q -ct3dO
(Phone)
5S0&~
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddItlOn ~lteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c. o MISe.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ tfS5Q .4-0
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land) Xr33 SQ
I hereby cerlify that I have furmshed mformaliDn Dn this applicalion WhICh IS to the best Df my knowledge true and mITecl. I alsD certIfy that I am the ()wner or authDl!zed agent f(lr the
JbDVC-menliDned property and that all construcliDn WIll Cllnt(lrm tD all eXIstmg state and IDcallaws and will proceed m accordance with submItted plans I am aware that the buIldmg
(ltlicial can rcvnkc tillS permit for Just calise Furthermore. I hereby agree that the CIty official or a deSignee may enter upon the prnpel1y to pcrf<1rm needed InSpectIons
m. Q~,~a..- c90~'ba4<64 ~/.~,loR
x
Signature
Contractor's License No.
Permit Valuation
Park Support Fee
Permit Fee
$
$
$
$
$
$
$
$
SAC
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water ConnectiOn Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
'1' .-
~~ /
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Paid
Date
IlIlIldlllg Ufficlal
Datc
Date
# $
# $
$
$
# $
# $
$
I $
I ?{p --
I $
() ~?'?7c.f
Rec:,tv'No.
By
6
ThiS IS to cl'I"tlfy that the requL'st 10 t::1(' above application and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed hy the City Planner constitutes a temporary Certiticate of Zomng complIance and allows construction to commence. Before occupancy, a Cntlticatl' ()f Occupancy must be
issued
Planning Director
Date
24 honr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any