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HomeMy WebLinkAboutBuilding permit 11-0830 - Re-Roof DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ) Co i F 1 lies-c-- 65.y (& Q OWNER CONTR. PHONE NO. PERMIT NO. / /'5,X/ ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILUNG ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: 4.1-450 AO I i , L i AID , _ g..v. WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: A Owner /Contr. /". CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSroTI 0 .4 PRic CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4.4NES011' + White F it PERMIT NO Yellow A p p ' I — ©e - LU 3 3 Yellow Applicant O (Please type or print and sign at bottom) ADDRESS ZONING (office use) I Col 9. `t We5-fb,. ave.. 1/v LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) . Y , -Er, C l (Phone) (Address) I t 4 1 ki d'" 4 it & BUILDER n �y (Company Name) 1".A.1 l✓.(, `* Rob ,i L- LC (Phone) C (SZ � '- t3 $ ` (Contact Name) 2e L cJ!c a bt.4 / (Phone)6/Z`'Zl0 SZ41 (Address) �'j'( 64V/ r ?-t II is eb TYPE OF WORK ❑ New Construction ['Deck ❑Porch ORe- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: DI.R.C. DI.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 1OoO Occupancy Group: A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the above -men oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official , evoke t . rmit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections X � 2,4 5 � �j7z5ll / / Signature Contractor's License No. Date Permit Valuation e0—° Park Support Fee # $ Permit Fee $ .— ,, 7S SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ S (30 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7q 7C This Application Becomes Your Building Permit When Approved Paid t, httg Receipt No. ( 31 (9 1 Date ) _)_.S By 7 fiG41+L62 Q— S ! 1 Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City 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 Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372