HomeMy WebLinkAboutBuilding Permit 08-0445
PHONE NO.
ulAl
r('f
14054 KUllihKS Sl Nt
EVERGREEN CONSTRUCTION
CO., INC .
Re-Roof
BUILDING PERMIT #08-0445
_ _ _ _ _;::>..,...'Vitr.:..W.y~1 _H' 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
COMMENTS:
Ci:;EsE:. 7 1./ 1="
f+tE.
( fI ^
1 . C) ~ ~ J'k...JY7
!' /
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CtJ1L FOR REINSPECTION BEFORE COVERING
Inspector: , (1 ~ Owner/Contr: ,
,CALL 447-9850 FOR THE NEXT INSPECTION 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' d
7:1. DJJ
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
I Lf-O s i./-
(2 vf~ rs
'./
:::-1. ;VC
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) clU-'jr..e.r:".17 CdnS!'f'vqY't>I1
(Contact Name) Jo-g"" Npic...rrt?-.'7
(Address) '1 -; 0 R ~yv. 0,., at ff-;--..J.L
PERMIT NO'08, o44-..5""!
ZONING (office use)
PID
(Phone) /t:>f'/) :)e; 9 - 'O)/"]()
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch '~e-ROOfing
OAdditton o Alteratton o Utility con~
CODE: DI.R.C. DI.B.c. 0 Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level FinIsh
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have hllnlshed mfmmat1l1n on this applicatIOn which IS lLl the best of my knowledge true and correct. I also certify that I am the owner or authoflzed agent t"r the
JbOVC-IDcntHmcd property and that '-ill construction Will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the 1:mildmg
llftiClal can revoke tlllS permIt f"r Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property tll perf(lrm nceded lI1spectlons
- .'1 ---?'" .--- ----? ../-
------- /~ -- .----.-
Signature -
x
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
/CR- /
7~ 1,c;lY
llllildln~ Ull"lcial
Date
7 /7 /~?(:f
Date
# $
# $
$
$
# $
# $
$
$
A,'
$ 'IV? -
/J
Reef No. /
!;G.s-tJ -0
B/ .
0
ThiS is to certify that the request in the above applicatiOn and accompanymg documents IS Jt1 accordance with the City Zllning Ordinance and may pnKl'cd as requested ThiS document
when signed by the CIty Planner constItlltes a temporary Certificate of Zonmg comphance and allows construction to commence Befme occupancy, ,\ Ccrtltlcate of Occllpancy mllst he
Issued
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any