HomeMy WebLinkAboutBUILDING PERMIT 16-1326 DATE TIME
CITY OF PRIOR LAKE SCHEDULED li C'7
INSPECTION NOTICE
ADDRESS I(- `)-1 1
CONTR.
OWNER 1(� C�a�
PHONE 140. PERMIT NO.
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
p FRAMING 0 WATER HOOKUP 0 FIREPLACE RIPLACE FINAL
❑ INSULATION 0 SEWER HOOKUP 0 GASLINE AIR TAT
FINAL 0 PLUMBING FINAL FINAL 0
p SITE INSPECTION 0 MECH '
COMMENTS: Li I
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❑ WORK SATISFACTORY,PROCEED
,I CORRECT ACTION AND PROCEED
/❑` CORREC ORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
ePR!:94,t..,
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
o N''.14'/V
� AND UTILITY CONNECTION PERMIT $
1VESd� 104.00
S 1. white File PERMIT NO.
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
14728 Cherry Court NE. Prior Lake, MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 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) (Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK ❑New Construction :Peck ❑Porch ❑Re-Roofing DRe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.c. 2Misc: 2 Entry Door Replacement into existing
ype of Construction: I II [HIV V AB
ccupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 10,989.00
Division: 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-mentione property and that 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 r e this permit st cause. tut ermore,I here gree that the city official or a designee may enter upon the property to perform needed inspections.
x CR001748 November 3rd 2016
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 mFe 's Deposit
I $
Sewer&Water Permitite Fee $ OtherBuilder $
Gas Fireplace
PerPermit Fee $ TOTAL DUE $
.)
This Application Becomes Your Building$$$
Permit When Approved Rec- pt No �G(
( c)t I tJ By
Building Official Date 1
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
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
r 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