HomeMy WebLinkAboutROOFING 08-0705
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7l0l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~f~SULA TION
NAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED q f ~") ~
~ (
~,~1~/\J~
CONTR.
PERMIT NO.
B - lo~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
n 0 MECH FINAL
114: ~o(P't-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
( .1')
<..2lt'"J~~ if ::-t
(I
+~ Lll
~
~WORK SATISFACTORY, PROCEED
o CORRECT ~CTION AND PROCEED
K. CALL FOR REINSPECTION BEFORE COVERING
lnspectof: I' / Owner/Contr:
I .
~ft:l~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1.50&
White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 08. 0705'
I
ZONING (office use)
(Please type or print and siWl at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER /' .
(Company Name)~e '<1 {e l '1
. v
(Contact Name) ..J7 S(Jrt
(Address) q It A r-tJ Vf'1.8d JtW
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TYPE OF WORK 0 New Construction ODeck OPorch . Re-Roofing
OAddition OAlteration OUtility ConnectIO
LcP'l r
L0;,c.-1 fJ.
(Phone)
(Phone)
5'~
{;; 51- c7cl9- )/.b
/'5(- 775-~t'/~
v
~Ol
<E;"f jJqr,/
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A BJ F H I M R S U (excluding land)
Division: I 2 3 4 5
.I
x
p icati which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzed agent for the
n to all existing state and local laws and will proceed in accordance with submitted plans. I am a;a/hat the buildmg
ereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed 'fJ?/ tJ g-
Contractor's License No. Co D~lte
I
Permit Valuation
Permit Fee
Building Otlicial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE n $ "/(,
Paid "/~ ./ R~tNO. ~7y?
Date 1, r. u r 1-
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Yom Building Permit When Approved
ThIS IS to certifY that the request m the above applIcatIon and accompanymg documents is m 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 noticc for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any