HomeMy WebLinkAboutBuilding Permit #13-1295 DATE TIME
CITY OF PRIOR LAKE SCHEDULED <<
INSPECTION NOTICE
ADDRESS � �J �
OWNER CONTR.
PHONE NO. PERMIT NO. �`� ! �Z
❑ FOOTING L7 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION
0 MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP p FIREPLACE FINAL
❑ INSUTATION ❑ SEWER HOOKUP
��INAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS 1`� � �"�°�� / """"
� WORK SATISFACTORY, PROCEED
❑ CORRECT C ION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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rxI Date Rec'd
o� �� CITY OF PRIOR LAKE BUILDING PERMIT,
ti � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � j/%/�
� D� A N D UTILITY CONNECTION PERMIT
�
'`�l �S
�'N E s° �. �,�te F,�e pERMIT NO. �.� � Z �
2. Pink City
3. Yellow Applicant
Please e or print and sign at bottom) ZONING (office use)
ADDRESS
15337 Breezy Point Road SE r ��-�
LEGAL DESCRIPTION (oflFice use only)
LOT l � BLOCK ADDITION j ����% � � � �`'� � PID Z5 . 02 (o . U O� _ �
OWNER (Phone)
(Name) Gene Klun
6128396947
(Address) 15337 Breezy Point Road SE
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: �I.R.C. ❑I.B.C. ❑ Misc: Replace handrails on porch and deck
Type of Constcuction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE
$ 4000 1 2 3 4 5 (excluding land)
Division:
I hereby cerdfy that I have furnished information on this applicadon which is to the best of my knowledge true and coaect. I also certify that I am the owner or authorized agent for the
above-mendoned property and that all construckion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaze that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the properry to perform needed inspections.
g Gene Klun Date: 11/06/2013
Signature Contractor's License No.
Permit Valuation J T � Q, Q Q Park Support Fee # $
Permit Fee $ Z S-� � SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
/(s . Z�
State Surcharge $ t � 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 DiTE $ L� /,'�
Tius Applicati Becomes Your Buiiding Pemdt When Approved Paid ( , 7 5 ei t NO. ��
r Date � � 9, / �
�i, ��,�y,�.�
Bu' n Offici Date
This is to c� that the request in the above applicadon and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consdtutes a temporary Certificate of Zoning compliance and allows constxuction to commence. Before occupancy, a Cerdficate of Occupancy must be
issued.
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fa% (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372