HomeMy WebLinkAboutRe-siding 04-0918
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS LI3ltf-1
0~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION "-
ptCFlNAL $(~ J
o SITE INSPECTIO~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
I tPl 0'1
{ ^^-
l{ -&j '(1
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r2k~
f \ ~ ~I
()\ c:>~ - ~ 't-II /J
-r
/
XWORK SATISFACTORY, PROCEED
o CORRECT C ION AND PROCEED
o CORRE T W . CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CA afOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTl
(Please type or print and sign at bottom)
ADDRESS
+.3&4-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
CtlI5C5TNl/ I
Date Rec' d
'1./'3 /) ~
White
Pink
Yellow
File
City
Applicant
PERMIT NO. Otf. 09/K
1-IV
ZONING (office use)
~/
#6
LEGAL DESCRIPTION (office use only)
LOT/ZBLOCK I ADDITION tAJe/eI/fG,e$ HIf."L 4-111
OWNER
(N ame)
(Address)
BUILDER U r. J
(Company Name)7-:-)~ . ~9 J ..1.rv:..
(Contact Name) I,;a.h ~~f\er-..
(Address) 1~4~~ ~e.
PID 25.3/4-.0IZ.0.-
(Phone)
(Phone) --.b5J. L/61.9D(()
(Phone)
J-.n '-'&' C;; I'D () C2c ~ts J fY\ IU
~~{)7t-,
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing p(Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have ti.trnished mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authOrIzed agent for the
a. bove-~e.ntl ed roperty .'nd '.".a.ll construction will confor. m to all existing state and local laws and will proceed in accordance with submitted plans. I am... aware.' that the building
official ca re k this p~o~ ause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed InspectIons.
X ':J~~ q.q.OL/
· - Signature Contractor's License No. Datcf
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Z,.50 o.() 0
$ 74. '15
$
$ I. 2,5
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
Building. Otlicial
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
-
~'7rf.J /
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
? (p. 00
Paid
Date
7f1.vV
"Ill],' ~
o.
ThIS IS to certity 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
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any