HomeMy WebLinkAboutBUILDING PERMIT 16-1325 DATE TIME
OF
CITYINSPECTION NOTICE PRIOR LAKE SCHEDULED I '
CITY I.
ADDRESS f • ° I V ...0.....
OWNER CONTR.
PHONE NO. PERMIT NO. Ao
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FOA0 FIREPLACE RI
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL
ASLINE AIR TST
'
❑ FINAL 0 PLUMBING FINAL
❑ SITE INSPECTION 0 MECH FINAL CZ, el—
COMMENTS:
Qom \ -
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT K,CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
e• PRI04) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
' r,`ANt.4,E' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT $104.00
i'NESD
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2. Pink City PERMIT NO. /6._ /3 45—
3.Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
16109 Evanston Avenue SE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Steve Johnson952-447-4388
(Name) (Phone)
Ill
(Address) 16109 Evanston Avenue SE
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 0 New Construction ODeck ['Porch ORe-Roofing ['Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection
CODE: DI.R.C. DI.B.C. Ole: 2 entry door and 2 storm door replacements
Type of Construction: I H III IV V AB 9722.00
cupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
'vision: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished infonnation 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-mention property and ,at 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 oke this Kum '. just cau . Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X j /1" / CR001748 11/1/16
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 $ t
This Application Becomes Your Building Permit When Approved Paid 'O L' L' )) ceipt No. . I, to('
Date (,t 0 ii tit
t 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
,u
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
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