HomeMy WebLinkAboutBUILDING PERMIT 16-733 DATE TIME
CITY OF PRIOR LAKE �'t /�°
INSPECTION NOTICE SCHEDULED b (2-
ADDRESS / 1711 /-(0'`r-L rk/
OWNER CONTR.
PHONE NO. PERMIT NO. 1 (//
o 3 3
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ 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 ❑ MECH FINAL —
COMMENTS:
DrilliQRK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector: eg - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
/�
.. B TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7. 5 /6
AND UTILITY CONNECTION PERMIT
drs.l ��' 1014023-Glover
�rNE 50
1. Whi
2. Pink Cay PERMIT NO. /6, 7 7
3. Yellow Applicant Y "'
•e type or print and sign at bottom)
RESS ZONING(office use)
17247 Horizon Trail SE., Prior Lake, MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O WNIE,R
Jeff Glover
(Name) (Phone) 952-220-6346
(Address) 17247 Horizon Trail SE., 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 ORe-Roofing Re-Siding ❑Lower Level Finish 0 Fireplace
CODE: ❑I.R.C.
❑Addition ❑Alteration ['Utility Connection
❑I.B.C.
❑Misc: 44 SQ Siding replacement
T pe of Construction: I IIIII IV V A B
pancy Group: A B E F H I M R S U PROJECT COST/VALUE $25,217.00
sion: 1 2 3 4 5 (excluding land)
I hereby certify that I hay-furnished inf. ation 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 . •.Hand that all .ns. 'on 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 revo i/: it for just ca\se.f ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x L.' / Z .. ' ri71.-P f n4 1 BC593158 6/27/2016
Signature Contractor's License No. BC593158 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 Building Permit When Approved Paid /0 ck CIO R eipt No.(,d
Date 7_ s / (o
Building Official Date
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
igned 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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