HomeMy WebLinkAboutBuilding Permit 08-0574
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~/(J9
OWNER
15654 FKhMUNl AV NW
KURT A& LINDAL
HAZEKAMP
Re-Roof
BUILDING PERMIT #08-0574
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
_ . ..._......II..'iiI! n.
u EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
t~
CLWi~
. II I "
/J(} ~ p~
rj
.1l WORK SATISFACTORY, PROCEED
-D'cORRECT ACTION AND PROCEED
o CORRECT wn-.;ALL FOR REINSPECTION BEFORE COVERING
Inspector: ?r / Owner/Contr.
J'i
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Mqs~e or print and si~n at bottom)
~DlH:..SS
I '.5 ( S Y Fte I>~O"ci-
ALC-
~, . '\
Il/, C\..;,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
)/OWNER V I
(Name) n u \/i
"'-.
(Address)
HeLce l~"V\,;J
I
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
.,,--
~<----"- <
i
c/ <""~ (" \..0(' \ t-'
(Phone)
(Phone)
TYPE OZRK 0 New Construction DDeck DPorch ~-ROOfing
DAddition DAlteration o Utility ConnectIon
CODE: I.R.C. DI.B.c. 0 Misc.
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
Date Rec' d
PERMIT NO. g:> -S(~
ZONING (office use)
PID
Cr ") "c - -~ '1' Cc ~ \-b
ll'i 0- 6 Iv{ L I
DRe,Siding DLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I I heleby certIly Ihat I have hlrmshed mlOlmallOn on thIs applicatIOn whIch IS to the best ol my knowledge tlue and clllrect I also ceItlly that I am the owneI 01 authOrIzed agent fm the
~I above-mentIOned plOpelty and that all constIuctllln wIll conlmm to all eXIstIng state and local laws and WIll pIoceed In accllldance wllh submItted Plan~[ m are that the bUlldmg
~Clal ca';;:7et;1fm Just cat!lse Fu helmme, I heIeby agree that the CIty offiClalm a deSIgnee may enter upon the plOpelty to pellorm needed In ecllon 0
X f (, let<. c~ _ ~ A 4- €?{
\.. ' s'ign re Contractor's License No l Daile
I
Permit Valuation
'2--2:)00. -
$ ~4;&~
$
$ l,~
$
$
$
$
$
Park Support Fee
SAC
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~{ /'
l- Y; ./(
~~
Paid
Date
# $
# $
$
$
# $
# $
I $
I
I $
I $ 1-"0 ~ ,...r
Receipt ~~/.~~SZ,S-
By ~
ThiS IS to certlly that the request in the above appllcallon and accompanymg documents is m accordance with the City Zoning Ordinance and may pmceed as requested ThIS document
when signed by the City Planner constItutes a temporalY Certificate of Zonmg complIance and allows construcllon to commence Before occupancy, a Certllicate 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