HomeMy WebLinkAboutBuilding Permit 11-0442 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 601 (
ADDRESS I S 3111 --" &re.e j 4 RA
OWNER CONTR.
PHONE NO. PERMIT NO. f — 0q2
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
ose, c
,GVORK SATISFACTORY, PROCEED
❑ CORRECT AC • N AND PROCEED
❑ CORREC ' • - • ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
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CALL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSFOTI
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" _. ` tr.' AND UTILITY CONNECTION PERMIT
V
1. White File PERMIT NO.
2. Pink City
3. Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS 15379 Breezy Point Road ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Kathi Koester (Phone) 952- 226 -2272
(Address) (Site)
BUILDER
(Company Name) Renewal By Andersen (Phone) 651- 264 -4777
(Contact Name) (Phone)
(Address) 1920 County Road "C" West. Roseville. MN 55113
TYPE OF WORK ❑ New Construction ❑ Deck ❑ Porch DRe-Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace
❑ Addition ® Alteration ❑ Utility Connection
CODE: ❑ I.R.C. 0 I.B.C. ❑ Misc Replace 2 windows within exiting openings._
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H 1 MR S U PROJECT COSTNALUE $_2,608.00
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information 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 existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit fo j st cause. Furt re, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _ 0 v 20130983 26/May /11
Signature Contractor's License No. Date
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Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; I $
State Surchar 0 e d $ Pressure Reducer $
etector, vhan be u
Penalty aS per the re $ Pgradca Sewer /Water Connection Fee # $
uir rn t he I
ent 01
Plumbing � ,�apt the $ R�- Water Tower Fee # $
tl �:,..ti� R atto ty erar�
Mechanical detectors ` Builder Deposit $
n * ne m is tim ed i
Sewer & Water Permit 1e isting c tiUCtilreS Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
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This Application Becomes Your Building Permit When Approved Paid hi �ei .l No. �All
Date (op .3,11 B _
Building Official Date
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
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