HomeMy WebLinkAboutBuilding Permit 08-0904
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ffr-
TIME
PHONE NO.
14537 SURREy LNNE
BRADACH, RANDY
CONSTRUCTION
Re-Roof
BUILDING PERMIT #08-0904
o t'LUMDlh\;o '" ,RADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
INAL
o SITE INSPECTION
COMMENTS:
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,.6WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTn~ CALL FOR REINSPECTION BEFORE COVERING
Inspecter: (j I) OWner/Centr:
V\
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
_OTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' ~)
(i , oz,f ,df
1 White
Pink
3 Yellow
File
City
Applicant
r
PERMIT NO. 0 (. 0 i Oft
)
ZONING (office use)
(Please tyoe or orint and si~n at bottom)
ADDRESS
-ILlS5/
5 (J 1l-(2.,~
L-t'\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) _
(Phone)
(Address)
BUILDER
(Company Name) ~fV.:ri::>Ik4-1 1Ut) rl,rL
(Contact Name) /I'l / ~ R'f)/ff;? S
(Address) I () ~(p 7 I r~L,y I/'rL
L-,Q t4f- r/ ,,,'''
(Phone) '7 J'- 'Z 70- '7/'t ?
(Phone)
1'1~ n~ '-I c(
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing
OAddition OAlteration OUtiliry Conn~~
o Mise
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
u
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that 1 have furnIshed Inf()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 wnstruction will conform to all eXlstrng state and local laws and will proceed in accordance with submitted plans I am aware that the building
:rlCia revoke this ~hermore, I hereby agree that the City I~); ~e~n~ :;~ter upon the propelty to perform n;~d17c;/ Q Ii
~ Signature . Contractor's License No. Date
l3uildlllg Oflicial
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 $ /0. (If)
(7
Paid 7v / liiD' No. <;/, Y J-'
Date 10, zy, (J r I . ' I
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
ThIS IS to certIfY that the request in the above application and accompanYing documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the Cay Planner constlltiles a temporary Certificate of Zonlllg compliance and allows construction to commence Befme 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