HomeMy WebLinkAboutBldg Permit 01-0459
(Please type or print and si~ at bottom)
ADDRESS
/'11' q j)SP~ /hte.-.
,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
PN'lx-hJLe-
LEGAL DESCRIPTION (office use only)
LOT J BLOCK q ADDITIO~M1d P~:J. /VeL
OWNER
(Name) ~j,'ck ~ liv b~
{
(Address) II..{ I{,? A-,,~ Acx.. P~'l1<" Wf:...
Date Rec' d
PERMIT NO.QJhI~
"
Yf!SbCeUSel
PID~- JfJ5-0S'f- ()
(Phone) cro- YV}-7V33
BUILDER I
(Name) (' o-.J ~ ~ r-.
(Contact Name) \) ic.k ~
,
(Address)
TYPE OF WORK
o Misc.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone) 90-- '-t~"! -9/DtJ
(Phone) ~ &'1).- J'1-)-I'I(,
o New Construction
o Porch
ORe-Roofing
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-mentioned 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to p,,'';vuu needed inspections.
I2:..L) ~ ~
. - -- I Signature
o Deck
o Lower Level Finish
o Fireplace
OAlteration
OAddition
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
$ /l/" 7~
$
$ I,.~~
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
-/h /0(/
5//7/ /) J
I , .
Building Official
Date
#
#
#
#
~Re-Siding
OUtiIity Connection
S--/7 -dl
Date
$
$
$
$
$
$
$
$
$ 7~,OQ
- ,
Receipt No.3 9Stt b
By 4.{'...
U -
This 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
when 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
issued.
Planning Director
.... .. .....-,...--. .........
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
14169
ASPEN
01-0459
Re-Side
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE-fILE
Mike Feter'~on, ~uilJing :Ln~pector
utc'
'1 7003
.....
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
/NSNOTJ