HomeMy WebLinkAboutBldg Permit 01-0809
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
I PERMIT NO. tJ/- ROC; I
(Please type or print and sign at bottom)
ADDRESS
J Lf'J J 2- Aryw ItJ l
ZONING (office use)
Pl1hD
PIDdS- ;:).tlS-()l//-~
)Jt6
LEGAL DESCRIPTION (office use only)
LOT (OBLOCK if ADDITIO~~A/l1. rJ
{l~/'W-APJLri~U"nJ J
I v;r /2- tAs"ouJ fA-J"
I
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Po-vn:h- ~ Ml
(Phone) (q f).. )
,vii-
(Phone)
(Phone)
o New Construction
ODeck
o Fireplace
o Porch
ORe-Roofing
DAlteration
Vt>s - bY..V
,R:l!k:-Siding
DUti1ity Connection
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 a1I construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter u;oi_~e p~rt'f/o_ p rm ee . ections.
-bfWIUt - 7(71(0/
Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
DAddition
PROJECTCOST/VALUE (excluding land) $
$ ?tl/~
$
$ /,;)5
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
lather
I TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
I Paid
I Date
~/(p _QU
-1- .?"/-O I
f -
Building Official
Date
$
$
$
$
$
$
$
$
$ 7' .06
J
Receip! No.LlO':J UL-f
By If-- '
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
14312
ASPEN
- 01-0809
OWNER _ Re-Side
ADDRESS
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
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
Cb.OfE FIb.E
'\,a,,,,, r,zit:., ':>>VII, Du;ldh,~ Ii15p~l-'ur.
OEt. '!J LUUJ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector:
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
._~-~~.-_._~~_._~>~.--..".,.,,-",-....,..._,."-~