HomeMy WebLinkAboutRe-roof 04-1141
CITY OF PRIOR LAKE
INSP~CTION NOTICE
SCHEDULED
DA TE TIME
~-V'07
ADDRESS
srr? 6-cc)k C~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~/C)o p;
~r-//</'/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ ()A /0/
~r q..P'P~.;;/S 0tf;"
+/~~.... .I ~hL Qrt:/ ~A rl
v , /
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORJ'~ REINSPECTION BEFORE COVERING
Inspector: rp ? . Owner/Contr:
... .,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
54-47 BeoOK.S
I. White File
2 Pink City
3 Yellow Applicant
a, I Ie (!,;'-"6
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK ..3 ADDITION B,e()oJ::;SVIu.,G, f!1u.-S + TN
OWNER
(N ame)
;TAK.6' IlFiGle,H
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
(Phone)
Date Rec' d
/ I. +. ()4-
PERMIT NO. 0+.. II J/-I
ZONING (office use)
leI
PID.zS: OZ/. 02.3.0
44-(). zS7/
TYPE OF WORK 0 New Construction ODeck o Porch M'Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Conne~n 0 Misc.
CODE: OI.R.C. OI.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 certifY that I have fi.lfnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-m ntloned 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
:"(.:..n evo~ ,th~ :~'Q''' co:' Furth"mo", I h",by a",,, that th, e<ty off",,1 mad"""" may ,ot" upon th, pmp'rty to pcrfonn o\r-lf:Oo;~
Signatu)e Contractor's License No. Date
Permit Valuation ~~S~O. ()()
Permit Fee $ 1+.7S"
Plan Check Fee $
State Surcharge $ /. z5
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Otlicial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
?~.()O
/1. +,D4-
# $
# $
$
$
# $
# $
$
$
$ ?~.()()
Receip~ No. ~j'.337
By //d.I!L
1
I 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
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