HomeMy WebLinkAboutBuilding Permit 08-0730
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
A1NSULATION
FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
~
5515 SHORE TRL NE
BREZINSKI ROOFING
Re-Roof
BUILDING PERMIT #08-0730
L..I r ~U...gln~ ".
U CAlbAAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Ccesc ~
FftE
{iJ~ "krt~ ~
V .
P/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~()
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
I White
Pink
3 Yellow
File
City
Applicant
(Please type or print and sien at bottom)
ADDRESS
551~ Snore '+lCl\ \
l PTl Dr L--tLK. ~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER .A
(Name)=.y~V' V-
(Address)
\v\-e~ -c rs
(Phone)
~C~~~~~Name), I5rezlY1S~i f2f)CP/YJcYj
(Contact Name) I lUL1 Br-a-I V7S~1 ../
(Address) 1l{J76/ ,AnV7C1 Ira / I
Date Rec' d
r; /0. Of)
PERMIT NO. (}8.0730
ZONING (office use)
PID
(Phone) Oft:?2 -9:::J.t?Cf80/
(Phone)
Pnl DrLtA Ke
TYPE OF WORK 0 New Construction ODeck OPorch LL:-RoOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conne~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
[ hereby certifY that I have furnished mformatllln on this applicatlon which is to the best of my knowledge true and COlTect. I also certIfy that [ am the owner or authorIzed agent It)r the
above-mentlOned property and that all construction WIll conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans [am aware that the buildmg
official can revoke thIs permit for Just cause Fl rthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlons
X ~ , ~ q-tD-D8
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
$
$
$
$
1 $
I $
I
1 $
1 $
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
Paid
Date
Ie, .-
9. /O~O e-
l3uildlllg Olliclal
Date
# $
# $
$
$
# $
# I $
'1 $
$
1/ $ ?~, {/ ()
1/
I RlfceiPt No. ~ '1-/
I~
tJ
This IS to certify that the requt'st in the abuve applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner CllnStltutes 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 notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any