HomeMy WebLinkAboutBuilding Permit 14-1216 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED t Z. l 2Q`1 l
ADDRESS /4 r� xiib, 7'R L
OWNER CONTR.
PHONE NO. PERMIT NO.
T
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
INAL 0 PLUMBING FINAL 0 GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL S
COMMENTS: � 1"''�0
gORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: d:22,4—.. Owner/Contr.
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
moron
C PRIps CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
\ y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE J�;, ,y
AND UTILITY CONNECTION PERMIT /$79 �.5
NE5o.t
I.White File
2. Pink City PERMIT NO. )Ji i 4''?./6
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
16489 Franklin Trail SE. Prior Lake, MN 55372 RI
LEGAL DESCRIPTION(office use only)
LOT BLOCK / ADDITION / l eYd,,,1.- ^11)/4641 Ai PID 6.-- 0,'-3 -oe)
OWNER Thomas/Paula Mumm (Phone) 952-447-3025
(Address) 16489 Franklin Trail SE. Prior Lake, MN 55372
BUILDER Custom Remodelers, Inc. (651)784-2646
(Company Name) (Phone)
(Contact Name) Karli Anderson (Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK ❑New Construction :Peck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: DI.R.C. ❑I.B.c. r❑Misc: 1 Patio Door Replacement into existing
Type of Construction: I II III IV V AB 2,704.00
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished• rmation on • pplication 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 constructio ..nform 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 for ju e. Fu . I h- by agree t the city official or a designee may enter upon the property to perform needed inspections.
x Karli Anderson I ,0 ' l CR001748 October 23rd 2014
Signature Contractor's License No. Date
Permit Valuation Park Sort Fee # $
Permit Fee $ / # $
Plan Check Fee $ v 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 $ '
' This Application Becomes Your Building Permit When Approved ii� l Gt ` Receipt No. �( �s: 'U
ate By 2
10* * 14
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
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372