HomeMy WebLinkAboutBuilding Permit (Roof) 08-0984
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I ~ 730
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
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^fA Ikr..DM
DATE TIME
~O?
Wt'~~ L ..tA-
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
~,t77~\
^ A.
~. "
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08 - 0 ij5'f
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
S'1\Q7k) ~
INSNOTl
f v
J!::!!ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREwO K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1f/ Owner/Contr:
CALL.: 7~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERUJ41CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1_ White File
2. Pink City
] Yellow Appliconl
(Please tnIe or ,ont and sip at bottom)
ADDRESS
I ~ '"t J S- W ;'r'\. A-~y- L JJ
()E
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
() v.. 4- oJ.- f-I e~'\.
. (Phone)
(Address)
R-", h-t.,..f..s
Bun.DER
(Company Name) h' Y;<, f ~ ... i 1.1... '^ <., t:. /J} ,..J ..7iPU'
(Contact Name) .-r:;orv.... h:..\\"'-V~.,..V1
(Address) 9523 f.......,,;c:..u LN JJ ~{-e_ (';'~'V".e_ .nN
Date Rec' d
/2.:1-. 08
PERMIT NO. 08. Ore ~I
ZONING (office use)
PID
(Phone) 7"..7- 37/~ /c.>-~?
(Phone) 9:~~';:Z;;ZI- 71075-
,<j~9
TYPE OF WORK 0 New Construction ODeck OPorch ~e.Roo~ui> ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ol.R.C. ol.B.C.
Type of CoDStl1lction:
Ocaapancy Group: A B
Division:
I
E
V A B
M R S U
4 5
PROJECT COST /V ALUE $
(excluding land)
II. S~O ~
,
n
F
I
mlV
H I
2 3
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 authonzl'Cl agent for the
above-mentioned r-'wr ...j and that all construction will conform to aU existinc Slate 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 ofticial or a designee may enter upon the r-'wr ...; to perform needed JltSpcc'lions.
-;::.)'~
~ Signature
x
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~ 7 ~A'&'
Contractor's License No.
I
1$
1$
1$
1$
1$
I $
I :
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Beeomes Your Duildlnl Permit When Approved
Buildinl! Official
Paid
Date
-/(p. UU /
12.."2.-,'-'/
. '1J
Dale
1;2-"z-<J8
Date
# 1$
# i $
i$
1$
# i $
# ,I $
,I $
i$
rl 1$
/
I R~iDt No.
I Bvlo
7~ . UD
5713 ~
I
nlls is to certifY that thc request in the above application and accompanyiog documents is in accordance with the City Zoninll Ordinance and may proceed as rc:qUl'Sted. This document
when sillncd by the City PlaMer constitutcs a temporary Certillcate of Zoninll compliance and allows construction to commence. Before occupancy. a ClTliflCate of Occupancy must be
issued
PlaJming Director Date Special conOiiions, it any
. . ~ h~ur noti~t f~r all in~pectionl (952) ~7-98SO, fax (952) 44742.5
Lf(.,1/(p f;j .::,-,~-1t.:. ~t.. Pn <:o.('f.c.fd-. \ ..l6!6e-_-o-~ C_~~...",~..,~.~ Prior Lake, MN 55372