HomeMy WebLinkAboutBuilding Permit 11-0553 TE TIME
CITY OF PRIOR LAKE ,
INSPECTION NOTICE SCHEDULED JP -"I (
ADDRESS 4l GV kt, C'56I
4
OWNER CONTR. //— PHONE NO. PERMIT NO. l ./ ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: 00&,0.1
14-0
Ot_WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT i K, LL FoR REINSPECTION BEFORE COVERING
Inspector: �, —hill Owner /Contr.
i
CALL 44T -9; • • R TH INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
?J.?. IOR
CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd Eso TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
°" AND UTILITY CONNECTION PERMIT ( 2-6. C
1 white File f PERMIT NO .
3 Yellow App / 5-53
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 14160 Rolling Oaks Circle NE ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
.. OWNER
(Name) Patrick Quinn (Phone) 952 -445 -8726
(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 ❑Re- Roofing ❑Re- Siding Mower Level Finish ❑ Fireplace
❑ Addition ►i Alteration ❑ Utility Connection
CODE: [] I.R.C. ❑ I.B.C. ❑ Misc Replace 3 Windows within exiting openings.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F III MR S U PROJECT COSTNALUE $_5,138.00
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I . ve furnished inform. ".non 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 pr.. rty and that all co . • 'on 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 . . enni 'ust cau - • . ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _ in, L - 1I �i'1■__, 20130983 23 /June/11
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee ' $ Water Meter Size 5/8"; 1 "; $
State Surcharge ' $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 7 , f 7.5
This Application Becomes Your Building Permit When Approved , 79,-7.5 • 3 / w
Date 6 . Z& / 7 By .
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