HomeMy WebLinkAboutBuilding Permit #15-1522 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED —2/2214,
ADDRESS /LI l 28 C-1--
OWNER ` CONTR.
PHONE NO. PERMIT NO. 1 — /52:a
❑ 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 0 MECH FINAL
0
COMMENTS: RayaoAL.,,g-- d
Ql5,54-P-LucLe
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR- ORK,CALL FOR REINSPECTION BEFORE COVERING
of
Inspect. V Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTJ
rte` le. /-S-
-,i 'R/04,
�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
AN,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Aikr �� AND UTILITY CONNECTION PERMIT $ 167n
\NESS
I. White File PERMIT NO. /J /
Ilr 2. Pink City / L 7�
3.Yellow Applicant `J/l i�
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
14728 Cherry Court NE. Prior Lake, MN 55372 p 1&D
LEGAL DESCRIPTIION(office use only) 69- --/ee",--r-LOT BLOCK / ADDITION �j z/S PID z5- zre /_too 3-
OWER Jeanine Roth (Phone) 952-447-7261
(Name)(Address) 14728 Cherry Court NE. Prior Lake, MN 55372
BUILDER Custom Remodelers, Inc. (651)784-2646
(Company Name) (Phone)
(Contact Name) Karli Biedermann (Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
illoCODE: ❑I.R.c. ❑I.B.c. aP,Iisc: 1 Entry Door Replacement
ype of Construction: I II IHIV V A B $,590.00
ccupancy 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 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 . •perty and that. „yI struction 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 revo: is.-rmi fos just j Fu ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X i% ‘G' / CR001748 December 15th 2011
_ Signature Contractor's License No. Date
Permit Valuation / Park Support Fee # $
Permit Fee $ \v11,C_ SAC # $
Plan Check Fee $ JJJ Water Meter Size 5/8"; 1"; $
State Surcharge $ I.\ 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 $ J
This Application Becomes Your Building Permit When Approved Paid II, / i ' ` J Receipt No. 3&
Date 4 f 6 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
t
hen 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
sued.
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