HomeMy WebLinkAboutBuilding 07-0868
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
U -f"S-Vt
OWNER
16895 WESTBURY A V SW
Simmering, Jason
Re-Roof 07-0868
ADDRESS
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
D.
COMMENTS:
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-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W/fWL FOR REINSPECTION BEFORE COVERING
Inspector: I V I OWner/Contr: .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. oJ 0 f"J
(Please type or print and si~n at bottom)
ADDRESS
~
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j/t/ermUlVj
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) :')'/2t1i. 5rf(/~SCJdY
(Phone)
(Address)
i BUILDER
(Company Name)
(Contact Name)
(Address) '-I~ ~
.:SIM~ (..oe
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(Phone) 9'5" ~ ~;;?9 ~ -st?R-(
(Phone)
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I hereby cCftity that I have hJfmshcd informatIOn on this application which is to the best of my knowledge true and COHect. I illso certify that I am the owner or <lutllllnZL'd agent for the
ahllve-mentwned property and that all c,mstructlOn WIll con j;.m to allexlStmg state and local laws and will proceed in accordance with suhmltll'll plans. I am aware that the hllIldmg
()fticial can revoke thiS per ".H' J ...h Juse Fu' .. /., 11:f'f' th,t th'.:....clty official or a deSIgnee may enter upon the propelty to pcrt{)rm needed mspectHms
~ ~ 9//~/67
~ ~/ ~~~~~ Contractor's License No Dare
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PermiWaluation ""- I
Permit Fee I $
Plan Check Fee $
State Surcharge $
$
$
$
$
$
St9v IFf
R( (/<1
TYPE OF WORK
.. /~
o New Construction ODeck OPorch ~e-Roofing
OAddittOn OAlteration o Utility Conne{tIon
o Mise
ORe-Siding OLower Level I'inish
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
A
B
x
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fcc
Water Tower Fee
#
Mechal1lcal Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace PermIt Fee
TOTAL DUE
.A/
Paid f Lf'
Date C; _ I"t . 0-7
/
II
RecllPt No.
By ~,.
C
This Application Becomes Your Building Permit When Approved
lluildlllg UfIIClal
Date
Date Rec' d
?12,oJ
ZONING (office use)
o I'lreplace
$
$
$
$
$
$
$
$
$
/1/
f'U7 -'
S-y!e, 1--'1
I
ThIS IS to certify that the request III the above application and accompanYll1g documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
\vhell signed by the City Planner constitutes a temporary Certificate of Zonlllg compliance and allows construction to commence. Bcfl)re occupancy, a Certificate of Occupancy must be
1,SSllCd
Planning Director
Dale
24 hOllr notice for all inspections (')52) 447-98511. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any