HomeMy WebLinkAboutREROOF 08-0426
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SCHEDULED /
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
42~t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.g INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 0 MECH FINAL
COMMENTS: ~iJ
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TIME
7? ~ G';l(4
,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)!WORK SATISFACTORY. PROCEED
o CORREC~ ~TION AND PROCEED
RK. CALL FOR REINSPECTION BEFORE COVERING
Inspectol{./ ': / Owner/Contr:
CALl~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN$NOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' I
7. /.Oi
I. White
2. Pink
3. Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
4257
€,~ / j\/ fv?j?O
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I PERMIT NO. 06. D4-z,fp
ZONING (office use)
PID
~=~Ya.d M/IleYL
(Address) /I Z 57-- (), y-aJ AI lAJO{"r! {! I V ~_
BUILDER /.. J I
(Company Name)~ IRS 0,R.,AJ.e_vCt I COi'f.h---a.c ~vS (Phone) 76.2,-- 550 -co4{3 .
(Contact Name) BYllr ~. c;,,<&..I-~S ~r (J/'uck 5.lvJf'\op (Phone)b,c;l- ~- 47~
(Address).,iSoo \lir1k<&trj LtL1/~ ~ 5:# #ao-.~, fJ/y~;. M/U 5"5-1./'/1-
TYPE OF WORK 0 New Construction ODeck OPorch ~OOfing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
tJb
(Phone) lj<L - ~~- iJl1.j1
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
n
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $-'-3 . ~tS L/, Jt)
(excluding land) .
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned l'Wl'~"i and that all construction will conform to all existing state and 10cal1aws and will proceed in accordance with submitted plans. I am aware that the building
:ffio.J = rewire"" -, fig j~'rn"~. ,"nh~, Ilrerel>, - ,." '" ci, 0_ ~'z::7 '9 ~3"poo "''"'"'''' ~ """'"'"7:~ /.. r>
Signature Contractor's Ltcense No. Date ~
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I WaterMeter SizeS/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
j&~ /
7../. dV
. (I'
I Paid
I Date
Building Official
Date
#
#
$
$
$
$
$
#
# 1$
I $
I $
/)1 $7lP --'
I /
Rtc.iipt No. ;ilLOB9
BK _ I
6
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and 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.