HomeMy WebLinkAboutRE-ROOFING PERMIT 08-685 TY LAKE DATE TIME
INSPECTION PRIOR O.
s _ SCHEDULED 9 ( ()d/
ADDR' SS 411%-- quark.
OWNE- CONTR.
,8-OPHONE NO. PERMIT NO. 8—6,85-
0
FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
`FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
O SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: Arc., 4
ci ).€/cAFt
WORK SATISFACTORY, PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT W C LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTJ
s
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
V 7c;:c1PP-R'4:731_,:i
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (7. 2 U/
AND UTILITY CONNECTION PERMIT
r. write File PERMIT NO. ,(�/ J� 5
��NNESO�P ?. Pink City I QiJ i (/
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(ofqi s--s- Quii:, kt v-- 1-v-01 7 i Pr‘1 0 r L6-k. fice use)
ADDRESS
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) t T.drrt/ 1S k 31 (Phone) 9 c '117 —75 V 33
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Conne ton
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: I 2 3 4 5
I hereby certify that 1 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-mentio d property and that all nstr ction 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 re oke this permit for st se rthe re.I hereby agree that the city official or a designee may enter upon the property to perform neede inspections.
RContractor's License No. Date
Signature
Permit Valuation 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 $ 16,. 0 0
l R eipt No. .. 71 0
Paid
This Application Becomes Your Building Permit When Approved
Date 9 Q(
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