HomeMy WebLinkAboutBuilding Permit 08-0797
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
16877 WESTHUKY AV SW
DANIEL J. BRANSON
Re-Roof
BUILDING PERMIT #08-0797
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
L.J -....LOmI3IN\:H<1 . --
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/I'8CC-
vl.- ~~
F/
DATE TIME
"I,?, Jtc)C(
I ,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-!-HI::--
Il-
l...-- ~
N. ~dJl.crL/.h
II .
..p WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT !1JRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1t17 Owner/Contr:
-/
. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. CB -7q 7
(Please true or urint and si~ at bottom)
_ {ADDRESS
t~11 L._?e<;\~~u~ SL..J
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
ADDITION
. OWNER:---.... ,\ -- ~.
1-(Name) \ ~w\JL\ ~ \~:::~R.cn45.~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) 9$Z- ~6' .l<.~l~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
I hereby certifY that I have hlrmshed mformation on this application which IS to the best of my knowledgc true and correct. I also certifY that I am the owner ( . author 'd agent for the
above-mentlOned property and that all construction will conform to all eXIstmg state and local laws and will proceed in accordance with submitted plans. I awar that the buildmg
V~lieial can revoke thiS ~erml ,rnu Furthermore, I he: agree:: the City official or a designee may enter upon the propelty to perform needed iUS 'cllons.
/~ ~~ature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
CODE: ~.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
I
E
III
H
2
A
R
5
PROJECT COST IV ALUE
(excluding land)
$
B
S U
IV V
I M
3 4
II
F
I
$
$
$
$
$
$
$
$
"'2.- -S-eC), ~
14-'1~
Park Support Fee
$
$
$
$
$
$
$
$
$
~L~_ ..-
#
SAC
#
Water Meter
Size 5/8"; I";
\. 2-,
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
~ ( t
Ttt.n B~'Boildin' P'~ ~!;S'd
8u " DatJ
Paid
Date
7~.'- I
CU~/~
,
'n . _ I
Receipt NO'6 ::>(;;,~
By !LV,*,
ThiS IS to certifY that the request m the above apphcatlon and accompanymg documents IS m 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 comphance and allows construction to commence. Before occupancy, a Certltleate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any