HomeMy WebLinkAboutBuilding Permit 14-0419 DATE TIME
CITY OF PRIOR LAKE SCHEDULED ' 11 _----
INSPECTION NOTICE /
ADDRESS - 5 5"-I • • . 'I UC '
OWNER
CONTR.
PHONE NO. PERMIT NO. 1 Ll-I1-4------
0 PLUMBING RI ❑ EX,GRADIFILLING
❑ FOOTING
❑ FOUNDATION 0 MECH RI 0 COMPLAINTp FRAMING 0 WATER HOOKUP 0 FIREPLACE RIREPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0 0 FIREPGLACE
AIR TSL
JS-FINAL 0 PLUMBING FINAL 0
❑ SITE INSPECTION
0 MECH FINAL
COMMENTS:
i. ' C ' -
WORK SATISFACTORY,
PROCEED
"0 CORRECT ION AND PROCEED
❑ CORREor
,CALL FOR REINSPECTION BEFORE COVERING
PeIns ctor: 1 Owner/Contra
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
01 PRIp,,
CITY OF PRIOR LAKE BUILDING PERMIT, `T Date Rec'd
4 04TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
trf AND UTILITY CONNECTION PERMIT
4 . 7
4'NESO
1. White File PERMIT NO. / 9_9 I
2. Pink City
3.Yellow Applicant
ase type or print and sign at bottom)llk
DRESS ZONING(office use)
16551 Blind Lake Trail
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Lee Gibbish (Phone) 952-447-8156
(Address) same as site
BUILDER Budget Exteriors, Inc.
(Company Name) 8017 Nicollet Ave. 5
~ ^ I Bloomington, MN 55420
(Contact Namc �. �< kirt\ 952-887-1613 Fax:952-887-1659
(Address) License# BC006564 Exp. Date:3/31/16
TYPE OF WORK 0 New Construction ['Deck ['Porch ['Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection
4iiCODE: ❑I.R.C. . [7�Misc: Window replacement&shakes
of Construction: I II III IV V A B
cupancy Group: ❑I.B.0A B E F H I M R S U PROJECT COST/VALUE $ $7,571.00
sion: 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 and that all cons. ctio�n 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 r: oke this permit'lo?l just caus• '•_�I, eby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / lal ..�►4 BC006564 5/22/2014
W ignature 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 $ 79.75
This Application Becomes Your Building Permit When Approved Paid G
7 .. 75 Receipt 7/V/l
Date 3 . 7// Bye
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
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
ed.
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