HomeMy WebLinkAboutBuilding Permit 08-0315
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~~
5700 F AIRLA WN SHORES TRL
SE
ROELLER & PARTNERS
Re-Side
- BUILDING PERMIT #08-0315
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
ADDRESS
OWNER
PHONE NO.
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
lGRADlFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Cte5~ -/1,/)-
A-tE
. ^ .
liD p"J hp M
- ., . -
Q WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREPJORK. CALL FOR REINSPECTION BEFORE COVERING
InspectDr: 'b OwnerlContr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYl
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S:JO ,O~
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. {)8,,03/~1
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
''Ke i'''lci~r:>
!r;"or La ~ _ M k1
- .
OWNER-r-: f' ~. .
(Name) Jeili\(t':Cr Gf1\d Sf-evt.'
(Address) 5-pO Fa(tIOJLJl\ $~\Ores n-
(Phone)
~n '7.L
i BUILDER '17 , 'l)
(Company Name) KOe.l (..ef J r~H\.er>
(Contact Name) _-<)'rcif fo'e{l#
(Address) /2< { I( fk A ue. )J lw{b(J- I .M )J
ZONING (office usc)
(Phone)
(Phone)
"t;~()~S
b5? '-2Tf-~ 73'v
;;0 - 2-71 "(~73 0
I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~iding OLower Level Finish 0 Fireplace
OAddioon OAlteration o Utility ConnectIon
I hereby rtity that I have nlfOlshed mformation un this application which IS to the best of my knowledge trut' and correct. I also certify that I am the owner Dr authOrIzed agent for the
abllve-m tlllned crty and that (sIr cl10n wtll contllrm to all eXisting state and local laws and WIll proceed In accordancc with submlttcd plans. I am aware that the building
Illf I %~;;or J _ t au urthcrmorc, I hercby agrcc that thc CIty IlI~O d31g1c ~1ze:7on thc pmpcl1y to pcrt(Jrm n:fl~n30"~}-oO~
, (Signature ) - Cg!lU';;k.v,' L:C-L~O ,..A'Jitte) )
,~ ~
$
$
$
$
$
$
$
$
$
CODE: DI.R.C. DI.B.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
Permit Valuation
Park Support tee
#
Permit Fee
$
$
$
$
$
$
$
$
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
Penalty
Water Tower Fee
#
Plumbing Permit Fee
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
TOTAL DUE
Gas Fireplace Permit Fee
/1
R.eleiPt No.
~1.-.
!
This Application Becomes Your Building Permit When Approved
Paid
Date
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llllildlllg Uf!iclal
Date
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ThiS is to certify that the request in the abuvL' application and accompanymg documents is 111 accordance with the City Zoning Ordinance andmay proceed as requested TillS document
when signed by the CIty Planner constItutes a temporary Certificatc of Zonmg compliance and allows cunstructioI1 to commence Before occupancy, a Ccrtlticatc of Occupancy must be
j,sstll'd
Planning Director
Date
24 hour notice for all inspectiolls (952) -t-t7-9850. fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any