HomeMy WebLinkAboutBuilding Permit 08-0894 (16678 & 16680)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
16678 DUBLIN RD SE
JOHN HALEY #1 ROOF CO.
Re-Roof
BUILDING PERMIT #08-0894
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
AiNSULATION
FINAL
o SITE INSPECTION
- . --....-..-- .-.
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: I G,{o ,)( .... t~~
DATE
Jf(1pr no,
JGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(2) uuJ:k,
/
CtesG "/ '/1-
FftE
.r .(J l) J/
rAJa ~ IKctVV}
, \i
(JiI.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~;(ALL FOR REINSPECTION BEFORE COVERING
Inspector: (f t) Owner/Contr:
. "'/ .
.CALL 447-9850 FOR THE NEXT INSPECT/ON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'~. /
iU.2.-Z~(iy
~lease IHJL ~rint and sjgJ1 atlb~
,.~DDRESV "VV' ~ l7
....... ' / && 80
I
~
I White
Pink
Yellow
File
City
Applicant
PERMITNO. O~.o~q4-
I
ZONING (office use)
.
LJ t/ if u /\./
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
K ~ J ~ L~LAJ .u. ~ w-
(Company Name) _) 0 l,vWOo',\.::H-1 ~
,(Contact Namv ~'~1. ~~
{Addres0) 1w~ &,j 27'ft-
-- /
TYPE OF WORK 0 New Construction ODeck OPorch ~e.RoOfing
OAddition OAlteration o Utility Connftio'N
o Mise.
~hone0q52-~ t:f2.7 ~ to /5(,
~ -- -
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby ccrtity that I have hlrnlshed mformation on this application which is to the best of my knowledge true and COlTec!. I also certIfy that I am the owner or authorized agcnt for the
above-mentIOned property and that all construction wIll conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
:I!Cial can re lke ~;fl'~rthermore.l hereby agree that the CIty Of~~~.ign~m~enter up::p:operty to perform n(:;~m;;nsc- ~
~Z~ignature ) Contractor's Lice,nse No. ) ( Date ~
-- .. '-- ./
Park Support Fee # $
SAC # $
$
$
$
$
$
$
$
Permit Valuation
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; I";
Permit Fee
Plan Check Fee
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
This Application Becomes Your Building Pennit When Approved
Paid
Date
/f~ ' cAJ
'1tJ.2-~.~
,I)
Mceipt No.
5'
7~. C/O
510 .953-
TOTAL DUE
Buildll1g UHicial
Date
ThiS IS to certity 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 Zonmg compliance and allows construction to commence. Before occupancy, a Cerlltkate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (9:;2) 447-98:;0, fax (9:;2) 447-424:;
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any