HomeMy WebLinkAboutBuilding Permit 08-0297
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
Wh9
TIME
PHONE NO.
16963 DEWITTE A V SW
HOMESURE
Re-Roof
BUILDING PERMIT #08-0297
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
INAL
o SITE INSPECTION
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.... ...<1GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/I/f:jCC-
vL.-O~~
F/
-;--HC
, e:::-
V \....;
Ilir, f-,F ~
~bRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~RORK' CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
CA ~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
lNSNorl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec: ~
5>~CY
(please tvve or IIrint and si~ at bottom)
ADDRESS
1. White File I PERMIT
2. Pink City NO. O~. 02-97
3. Yellow Applicant O.
\ \0 q lP ~ P --e w \ * -E' Av~ ~ W
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
S (l \\ dx- C1
~ Ce q " '3
(Address)
8\vtN\dD V\ l
1)uu\ 1t-e f:v~ Sl.J
(phone)
BUILDER '
(Company Name) ~ D\f'v\e <) Gl r e) \ y\..L-.
(Contact Name) CfCf oC? ~. S'^-oYJe D'r.
I (Address) (\1\, ~-e.A \...p
-PI "\ V'vv>V~
(phone)
(phone)
ZONING (office use)
Pill
q5~-YY1-S(/(
Ib~-41:L-WLJB0
S(}..Yv\.~
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
n
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
q ,OVO.cD
I hereby certifY that I have fumished 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 property and that a1I construction will conform to a1I existing state and 10ca1laws and will p.v",d in accordance with submitted plans. I am aware that the building
:fficial can rev~::r~ust 7/!Urth;::herebY awee that the cr~ official or~sOe~ 0~2C?t to penorm needr;i~o;. ~ 6
, S;g;;.rure - C~"",",', Li_ No. . Di
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
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
I Paid
I Date
lit - /
_~ ~J.'K
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ '1<e-'V
/J.
(/
R~tPt No. .!)r?IJJ
f(y r'
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This is to certifY that the request in the above application and accompanying documents is in accordance with the Ci~ Zoning Ordinance and may proceed as requested. This document
when signed by the Ci~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any