HomeMy WebLinkAboutBuilding Permit 13-1237 CITY OF PRIOR LAKE DATE TIME
INSPECT! I LO
3068 SPRING LAKE
ADDRESS MARTY HANSON
OWNER Re-Roof 13-1237
PHONE NO. PERMIT NO.
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 0
COMMENTS:
0511- ✓ t
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT A •. AND PROCEED
❑ CORRECT O. 1,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Fr Owner/Contr.
fir
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
/NSNOT!
Z0yf N CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'0d
.� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT - ��
/d'NEsOo* I. White File
2 Pink city I PERMIT NO. 13 J
lase
3 �L3.7 I
type or print and sign at bottom) Yellow Applicant
rDRE
SS `SPP41 C�i-k- e ,&j/r
ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER //gma �� /
/ a
(Name) '` (Phone) 952 210 !
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name)
(Phone)
(Address)
• TYPE OF WORK 0 New Construction ❑Deck DPorch 4111'e-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace
CODE: DI.R.C.
❑Addition ❑Alteration
411
['Utility Conne.ion
❑LB.C. 0 Misc.
e of Construction: I II III IV V A B
panty Group: ABE F HI MR SU PROJECT COST/VALUE $
vision: 1 2 3 4 5 (excluding land)
II hereby certify that I have famished 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 property and t .-.11 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 revo.,thi rm ust use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /�
s y ��t/3
Ar M.''Signature Contractor's License No. Date
Permit Val : ion Park Support Fee ## $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 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 I $ TOTAL DUE $ 79 75-
This Application Becomes Your Building Permit When Approved I Paid 7 • L7
ceipt No. g I
Date //-��/3 //
Building Official Date
s 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
en 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
Tued.
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