HomeMy WebLinkAboutBuilding Permit 08-0558
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t(!cD~~
TIME
"
PHONE NO.
16741 SIMPKINS A V SW
Simmering, Jason
Re-Roof
BUILDING PERMIT #08-0558
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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F/
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'~b~: S~T;SPACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECffl~ALL FOR REINSPECTION BEFORE COVERING
Inspector: f1 [V Owner/Contr:
J
. 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
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. (}8. 5!)B
I hereby eertity that I have turnIshed mtill'mation on this application which IS (() the bestllf my knllw1cdgc true and correct. I also certify that I am the llwner or authllrlzed agent for the
above-mentlllned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke thIS' ust '''t~elmOle. I heleby agree that the CIty officIal or a deSIgnee may enter upon the plOpel1y to pertorm needed mSl.'ectlons .
//~ ~ ~ -;/3c'/o6
~/ ~~ Contractor's License No rla'te'"
//" .........-- ~
Permit valuation
(Please type or print and si~n at bottom)
ADDRESS
/b)L((
SIHr<<lNS 5 r;
:5Lv
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) 41 ( I: f. /1-1 L /-(./-{..1 '(
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
<; ( 'N" 11 "L/(! (..1.) (
.:rA'50,1./'
/ /, C'--
<...J: '-' J / .
(Phone) 9<;J
(Phone)
TYPE OF WORK
o New Construction ODeck OPorch li. ~ e-Roofing
OAdditton DAlteration o Utility connec~
o Mise.
ORe-Siding OLower Level Finish
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
A
B
x
Park Support Fee
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
/l
I /
~~t No
This Application Becomes Your Building Permit When Approved
Paid
Date
7(, -
7.3tJ/f7r
13uildlllg Omcial
Date
Date Rec' d
7.30, ()tJ
ZONING (office use)
. ,')
_ '/ <.-" _ c'-- () - .~
.", . ,"" .':> c. \.. l"\
o Fireplace
$
$
$
$
$
$
$
$
$
"'1"---
ZJ" 54
ThIS IS to certify that the request in the above application and accompanymg documents IS m accordance with the City Zllning Ordinance and may pruceed 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 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 Prior Lake, MN 55372
Special Conditions, if any