HomeMy WebLinkAboutBldg Permit 02-0774
(Please type or print and sign at bottom)
ADDRESS
/4-/?~
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO I
2. Pink City . ..,...., - ~ J
3. Yellow Applicant VO"" / ~
/7.5P6N rlv6NUb
NO,e.:711ertS/
ZONING (office use)
PV-SO
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 9 ADDITION .:5rtN 0 POI A/I' 2 ~ 0 //t)ON.
OWNER
(Name)
'/ tiS~, ?r:I !e,/i! 'I
(Address)
BUILDER J./.1 / C" I
(Name) J<..., rDI1~.J;1 ~C)1t/t!f!!y-5
,
(Contact Name) I ~d. A 142
(Address) / 'If. 'T-: .. (! c1
Of) 4-VtlJIJ;t (I/' t?
. .
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
PID Z5 - zoS - 1')8:}-0
(Phone) (7 (,~) 744- - 5lJhS
(Phone) (q~:J-) Fli 7- 31::,?-r
., ..
(Phone) '1
R/otJJIfA I~~ -10 ~ MAl s- s-Lt.?' 7 - :2. y:;U)
ODeck
o Porch
ORe-Roofing
-
'xRe-Siding
OUtility Connection
PROJECTCOST/VALUE (excluding land) $
o Fireplace
OAddition
OAlteration
I 2,560.00
$ 7~. 75
$
$ I . z5'
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Date
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 pi . 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 upo property to perform needed inspections.
(7
Planning Director
Contractor's License No.
6-.>0 - ~f) 2-
Date
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Building Official
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
1$ '7(,-00
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid Z /~"'()C
I Date C? - elf.-. -O.r-
ReceiptNo.'-I~ 33 ~
BY~
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.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14125
ASPEN
02-0774
Re-Side
OWNER
PHONE NO.
o FOOTING
CI 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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE FILE
19\i~~ p~ I ~1~Vrl, ouilJiu5;f i:u:)pt:d ur.
Qt.\.,
2 200~
i'-
I
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/
INSNOTl