HomeMy WebLinkAboutBldg Permit 05-0362 - Re-roof
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 5 ~ Sta "V
(Please type or print and sign at bottom)
, ADDRESS
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51 - R;:r(Lu J!tV~
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LEGAL DESCRIPTION (office use only)
PID 2.6-.
BLOCK ADDITION
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TYPE OF WORK 0 New Construction ODeck OPorch 'mEe-Roofing
OAddition o Alteration OUtility Conni:ti~n 0 Mise,
CODE: DI.R.C. 1Cfl.B.C.
Type of Constmctior I II III IV
Occupancy Group: A B E F H I
Division: I 2 3
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
91)7-
, ZONING (office use) ,
102. ' 051. 0
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f77Y
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:3
o Fireplace
~hed in rmation on this application which is to the best of my knowledge true and correct. I also ceItify that I am the owner or authonzed agent for the
nd tllat a nstruction will conform to all existmg slale and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
use Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlons,
(Phone)
(Phone)
ORe-Siding OLower Level Finish
~~cru
4 5
PROJECT COST IV ALUE $
(excluding land)
f'~
/
( ) Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Contractor's License No,
$
$
$
$
$
$
$
~
C;-(X). -
1..c;- -
((0 . ~.:;
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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
Gas Fireplace Permittee
/2 fJ
This omes 1 UUt ~ When Approved
Paid d;.b.. ~
Date t:;/ 2 / /lr
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Date
Date
$
$
$
$
$
$
$
$
$ 4/.75
"---
ThIS IS to certify that the request in the above appTICailOn 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 Cenificate 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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/bCl.2 71' sx ~/
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: j/, /J
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AWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -OWner/Contr:
~
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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