HomeMy WebLinkAboutBUILDING PERMIT 16-1052 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED � �q/C(
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❑ 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 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
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❑ CORREC • ' I• AND PROCEED
❑ CORR •-•K CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CALL •7-98 I FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
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� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1014347-Anderson
1. White File PERMIT NO
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2. Pink City l r/
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3. Yellow Applicant
type or print and sign at bottom)
RESS ZONING(office use)
14184 Candlewood Lane NE., Prior Lake,MN 55372 :
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LEGAL DESCRIPTION(office use only)LOT eBLOCP— ADDITION Y 1� 41-11 'Alis t i PID cgC. di< DU
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OWNER
Tom Anderson
(Name) (Phone) 612-791-0584
(Address) 14184 Candlewood Lane NE., 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 ❑New Construction ['Deck ['Porch r]Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑LB.C• ❑Misc: 20 SQ Shingle Replacement
Type of Construction: I II III IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $7,840.85
ion: 1 2 3 4 5 (excluding land)
I hereby certify that I have 'he.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. . tha all constru i:n will•. irm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke .' .• • for .st cause. Fu •erm.,1#f'ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
A riu.L . b-r J r)j[,„� BC593158
X BC593158 9/8/2016
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 103.00 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ l.UU 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 $ 104.00
This Application Becomes Your BuildingPermit When Approved (Ld'
pp pp Paid �(�`� Receipt No. (6,46q,2-
Date
1
Date /- [ g!'(cp By SARLty
Building Official Date •
11111 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
'gned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
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
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