HomeMy WebLinkAboutBuilding 06-0400
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
L./ - t-- OT
ADDRESS
PHONE NO.
- 4991 BEACH STNE
BRAD'S ROOFING
Re-Roof 06-0400
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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 GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~L FOR REINSPECTION BEFORE COVERING
Inspector: /IV Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
~9t3 ?
White
Pink
Yellow
File
City
Applicant
PERMIT NO'C7( _ () 4-00
,--
6b77(U-f S J .
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID Z:.> . 02-t'. OCl!. I
OWNER
(Name)
(Address)
(Phone)
BUILDER 12r::J./I I R
(Company Name) ~OS CJOF/,.} &-
(Contact Name) rsF...fJP
(Address) f ;}..3/!) (!.{l,oWt./ HIU- tv'(""'
Date Rec' d
S /cj' t/(,
ZONING (office llse)
61:J.- g-;?9-765.5
(Phone)
(Phone)
go U f?JJS\J 1LL..e
I'
TYPE OF WORK 0 New Construction ODeck OPorch \tr~e-ROOfing
OAddition OAlteration OUtility ConnefJ6~
o Misc.
CODE: OLR.C. OLB.C,
Type of Construction:
Occupancy Group:
Division:
A
ORe-Siding OLower Level Finish
B
I
E
U
PROJECT COST IV ALUE $
(excluding land)
~~:S:S7
o Fireplace
I hereby certily that I have hlrnlshed Inl()rmation 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 that all constructIon will conform to all eXlstmg state and local laws and will proceed In accordance with submitted plans. I am aware that the buildmg
~-licial can revok~~'- ust ~hermo:, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform need5':..ect'/9_ 06
, Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
$
$
$
$
$
$
$
$
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
This Application Becomes Your Building Permit When Approved
13uildlJlg Ofticial
Paid '7~. (/l)
Date j;-.I~/(j~
#
#
#
#
$
$
$
$
$
$
$
$
$ r;~_ () 0-
Reciipt No. 5/41}-?
n
o
Date
ThIS IS to certIfy that the request in 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 Cay Planner constacltes a temporaIY Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any