HomeMy WebLinkAboutBuilding Permit 14-1391 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED Q/c"i•4j//r--
ADDRESS 4 s b
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
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS: ,
i< 43 CA
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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�� PR12� TEMPORCITYARY OFCERTIFICAPRIOR LATKEE OF BUILDINGZONING PERMIT,COMPLIANCE Dale Rec'd
F.,
AND UTILITY CONNECTION PERMIT $79.75
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i.white File �
2. Pink City PERMIT NO. /41.-_,/i
_, /r97
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 4556 Colorado Street. Prior Lake, MN 55372
- LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID j
OWNER Paul Johnson (Phone) 952-994-9886
(Nam(Address)4556 Colorado Street. 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 ODeck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: DI.R.C. ❑I.B.c. ✓❑lac: 14 Window Replacements into existing operiy
Type of Construction: I II III IV V A B 19,800.00
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
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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 agmt for the
above-mentio.ed property and . 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, oke this permit .t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
hi AS CR001748 December 3rd 2014
s 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 $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
3l7
Date By
11 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 Occupancl 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