HomeMy WebLinkAboutBuilding Permit 08-1002
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(~
TIME
PHONE NO.
4101 WILLOWWOOD ST
BLAZEK, BILL
Re-Roof
BUILDING PERMIT #08-1002
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,RAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Ff-t,6
,fA Ai) ^
if Jo t.J ~
v - , .
~ WORK SATISFACTORY, PROCEED
o CORRE~T ION AND PROCEED
o CORREC '7:Jf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: W Owner/Contr:
-,' .
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
IO.ll/6/
(Please type or print and si.e;n at bottom)
I While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08
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ADDRESS . . )
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
~...OWNER
(Name)
BLOCK
ADDITION
PID
(Address) \
~. BUILDER
(Company Name)
::JerfY
,
'5'A/11I2..
fi- J /)f-t ellt
(Phone)
952., 22t... .~Y5'1
8/L L fjLJ'J 7F:.K-
(Contact Name) ~ j'll
/~ Qp7 /'1/)/1/(,
~. .. I
lSt6V r/~7
). ~-
(Phone)
(Phone)
?S-2- 2/2,3.7 <JC;
tll/7- ?659
, .
(Address)
JI.....
.
TYPE OF WORK. 0 New Construction ODeck OPorch ~ROOfing
DAdditlOn DAlteration DUtility ConnectlOn
CODE: -~R.C. OI.B.C.
Type of r:onstruction: I
Occupancy Group: A B E
Division:
ORe-Siding OLower Level FinIsh
o Fireplace
o Mise.
W/JvO~it )
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(exduding land)
I hereby certily that I have hlrnlShed mformatlOn on this apphcatlOn which is to the best of my kDowIedge true and correct. I also certlly that I am the OWDer or authorized agent for the
above-mentlOned property and that all eonstruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
~. :""., "0 '~"':';;;m" '0 '" "" ""'",mm,. I ",,,", ,""' "" ", "'":1 ,", '2'',2l~"2"7 '?"V" ,,,Imm J''j);~""') 1_ tJ f
It:- V CO"""',,', Ucro" No "",
Permit Valuation L~~. - Park Support Fee # $
Permit Fee $ 14 .,~ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ I --Zc:(" Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee I $ Builder's Deposit I $
I
Sewer & Water Permit Fee I $ Other $
Gas Firence Permit Fee 1 $ TOTAL DUE '1 { '=>- -
1/
/ Kr~, Y~ldm. p=~ ~:7.;t~ / / ,-
Paid ~Z- uy Rec,1;:No. .s-7/{g 0
Date !Z- By /.
~
~ Date I
ThIS IS to certlly that the request in the above applicatIOn and accompanymg documents IS in aecordance WIth the City Zoning OrdinaDce and may proeeed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zomng compliance and allows constructIon to commence. Before occupancy, a Certlticate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any