HomeMy WebLinkAboutBUILDING PERMIT 17-1222 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1)111/
ADDRESS I 1l -17 J ` , l 1`
OWNER CONTR.
PHONE NO. PERMIT NO. /G ( aca.�.
❑ FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
❑ 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: QQ,`ptc;r1,3 C-\.4 c'i4-r
0 c3,-.0.,g-A-- -Ft'Lo
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE K,CALL 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!
INSMOTI
/4 111(/0,4
���," CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
rhN s S6c� 1014366-Reynolds
1. White File PERMIT NO
2. PinkCity . (/ - / Z.
3. Yellow Applicant �O
e type or print and sign at bottom)
Illr)RESS ZONING(office use)
14177 Shady Beach Trail NE., Prior Lake,MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
VWNER
Don &Karen Reynolds '
(Name) (Phone) 507-676-6410
(Address) 14177 Shady Beach Trail 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 0 New Construction ['Deck ['Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
CODE: DI.R.C.
❑Addition DAlteration ❑Utility Connection
❑I.B.C. 5 Full Window Replacement
isc:
Type of Construction: I II III IV V A B76-M
lilupancy Group: A B E F H I M R S PROJECT COST/VALUE $31,854.49
cion: 1 2 3 4 5 (excluding land)
I hereby certify that I have fu. .hed 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 prop- .440
.1
at all constru 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 revoke thio or just cause. ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x i MLitt 1711.4 /) BC593158
Signature Contractor's License No. BC593158 Date 9/29/2016
Permit Valuation Park Support Fee #p $
Permit Fee $ 103.00 SAC ## $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 1.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 Building Permit When Approved Paid l U LI;01 Re ipt No.itG 4----
Date
Date ..'w (,L^ By ,
Building Official Date
6
.ertift theqt n thbvappliion and accompanying documents is in accordance with the CityZoning Ordinance and may proceed as requested. This document
ignedtocebyy thethaCitye Plannerruesiconstituteseaoe a temporarycatCertificate 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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