HomeMy WebLinkAboutRe-roof 04-1118
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
. JJj"ECH FINAL/?
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or .
COMMENTS:
DATE
TIME
l:5~-///r
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORKSATISFAC~~:PR~ ~
/ri'~~RRECT ACTION AND PROCEED
o CORRECT W~~ 7~ REINSPECTION BEFORE COVERING
Inspector: J~ / ,/ Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1NSlt0Tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White File
2 Pink City
3 Yellow Applicant
PERMITNO'(}1-./1/8
(Please type or print and sign at bottom)
ADDRESS
/7{)()7 S'Uj'JJC /
/ /V11 L.,
LEGAL DESCRIPTION (office use only)
LOT I BLOCK z.. ADDITION
SUNJ 61 - fflf.."f.-
PID 2 ~ /72.--. 0 () 7- tJ
OWNER
(N ame)
(Phone)
(Address)
~~~~~Name) !-c~~t{)CJ()riS kno cb-- /,.nc'\
(Contact Name) ,<)_~_~V'\.. f-, S<z -
(Address) qOD i E. 13100 In/ ~ Iv,., Fyu.. uJ a...V
Date Rec' d
/().1rB~o4-
ZONING (office use)
klf"..LJ
(Phone) 7S--oJ-ff2~6550
(Phone)fr,/;J -SdJi'~' 86 (o-S
12ao.J
TYPE OF WORK 0 New Construction ODeck OPorch )d'Re-Roofing ORe-Siding
OAddition o Alteration OUtility Conn,{ti~ 0 Mise,
OLower Level Finish
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I
E
II
F
I
o Fireplace
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
above-mentIoned proper 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 can revoke th~e1i_t for Just cause Furthermor:<< agree that the city official or a designee may enter upon the property to perform needed ;Jcctions, I ,
Xo/L~,' ~ _ ~ - /OJVCJ~
~ ..... - Signature Contractor's License No, Date
$
$
$
$
$
$
$
$
$ '7&.OfJ
R~C* -ff/21'/
BYT--~
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
?6.(.Id
/0, Z..e,,4--
Paid
Date
Building Otlicial
Date
ThiS IS to certify that the requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinancc and may proceed as requcstcd, 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
16200 Eagle Creek Avenue Prior Lake, MN 55372