HomeMy WebLinkAboutBuilding 15-1481 CITY OF PRIOR LAKE DATE
INSPECTION NOTICE TIME
SCHEDULED 1 _
J �
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO. lb - (-1T1
❑ FOOTING ❑ PLUMBING RI
❑ FOUNDATION 0 EX/GRAD/FILLING
❑ FRAMING 0 MECH RI
0 COMPLAINT
0 WATER HOOKUP 0 FIREPLACE
RI
❑ INSULATION
0 SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL
0 PLUMBING FINAL
❑ SITE INSPECTION 0 MECH FINAL + GASLINE AIR TST
COMMENTS: l� v‘-‘90 0) pus
A
A L i W
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447_9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
___C.Qa1.4________
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
A'Snorn
34-Evenson
A.°4'''' dP CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 117.,, 6 46
AND UTILITY CONNECTION PERMIT
r*Ar ils°�
I.white File
2. Pink City PERMIT NO. 15 148 1
3. Yellow Applicant e
lillease type or print and sign at bottom)
ADDRESS ZONING(office use)
17266 Toronto Avenue SE.,Prior Lake,MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
Paul &Mary Evenson
(Name) (Phone) 952-226-3395
(Address) 17266 Toronto Avenue SE., Prior Lake
BUILDER
(Company Name) PCS Residential (Phone) 651-994-2028
(Contact Name) Pam Pomerenke (Phone) 651-255-0618
(Address) 2005 Pin Oak Drive, Eagan, MN 55122
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
DAddition ❑Alteration ❑Utility Connection
CODE: DI.R.C. I.B.C.❑ [xMisc, 8 Full Window Replacement+
Type of Construction: I II III IV V A B
�ccupancy Group:
ABE F H I MR SU PROJECT COST/VALUE $32,244.68
vision: 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 d that all .is'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 th' ' for just ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X d—t. BC593158 BC593158 12/2/2015
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 75.75 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 Ir. 1r R pt No.34 36
Date rt.0, I r'
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
iiilhen 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
ued.
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