HomeMy WebLinkAboutBuilding Permit 15-0344 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED Z !
ADDRESS I / t-f• 7 5 t 6 ,T-
OWNER CONTR.
PHONE NO. PERMIT NO. 1 5 . 3 Lf-
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: i" l ��
0 k �--
'WORK SATISFACTORY,PROCEED
J CORRECT ACTION AND PROCEED
❑ CORRECT WORK,QUCALL 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!
INSNOTI
6PR/pp
,
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4.,AN,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
nr AND UTILITY CONNECTION PERMIT
111 ,rj cy
NNE s°
$79.75
I.White File PERMIT NO/5i 344_
3.Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
14475 Bluebird Trail NE. Prior Lake, MN 55372 2. Pink City
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
` OWNER Lyle/Ann Rock (Phone) 952-496-0904
(Na(Address) 14475 Bluebird Trail NE. 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 0 New Construction ODeck DPorch ORe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. ❑I.B.c. Misc:
Window Replacements.
ype of Construction: I II III IV V AB 7,207.00
ccupancy Group: ABE F HI MR S U PROJECT COST/VALUE $
ivision: 1 2 3 4 5 (excluding land)
I hereby cert that I have fu ,shed formation 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-me'' ned property a , tha ,I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ifiJo
official c this r>m for'
use. rth iv,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
% riA • / 0 CR001748 April 14th 2015
• 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 �/4 Y`s r R ipt No. I
64/
Date 4—,/7.1 f B
Building Official Date
is 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
pil!ii.
en 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