HomeMy WebLinkAboutBuilding 04-0334
DATE TIME
e\1'( OF PR\OR UKE
INSPECTION NonCE
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SCHEDULED
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CONTR.
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ADDRESS
OWNER
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
zp.,pm-AL
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 GASLlNE AIR TST
o
~ATlSFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-.)'1. #-
llo Cfo ~
\3 S
(J e.-'Oe.- lPd-i-
t. White File I PERMIT NO I
2. Pink City . 04-. 03. 2/1
3. Yellow Applicant ----r
ZONING (office use)
C,,3
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z,5". /4-7. 0 0 I. 0
OWNER
(Name)
V\~l~
lIP 2-9D
u ~VULe...
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B~
P~tO 2- ~
(Phone)
<1S2,-'-JLt7 - QJz, 7
(Address)
BUILDER
(Name)
tJ\ ~vJA-u> ~L..f I ~ 11\l~.J
(Contact Name) ~et.-NJ6 MA--riDvJ~
vJ IS()~ l/ ~-kV~6
(Address) I ~ 11
TYPE OF WORK
o New Construction
OLower Level Finish
Misc.
Ne:N 'f-O-o to.-'I
(Phone)
(Phone)
MAl
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
(p Q:::O .
I hereby certifY that I have furnish d 'nformation 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- e i ed property and that an construction will conform to an existing state and local laws and will proceed in accordance with
submitted plan I m aware th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
; r u op to perfo ed inspections. 2. 35 '-f Lf I, cr 101
Contractor's License No. ~ate
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Y ol!!- Building Permit When Approved
~ciIDvWi-l ~,;!'I
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE I'fr/l[;t;V 4-. '"t 1. ()V' $ Lf7 Olt~()
I ~~~ :Z~:~
I ~;OO# ~(,~J
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.
tf ro-l.6'f_
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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~~
l;anary - ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
MA~OWALD
4-. (4. 04--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J{glqO HlqHWAP3
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Accepted
Accepted With Corrections V'
Denied
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~
Date:
Ill. 7/(J c{
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Reviewed By: ~
Comments: &Lr ~ ~)
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
<:Pink - Planni~
-
The ('('nlt>r of the 1.1Ikf ('ounfr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted (>('
Accepted With Corrections
Denied
Reviewed By: ~?~
Comments:
Date:~. oO'Uf
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
I"Z9~ NUJY I.JS.
,
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING .
PERMIT NO. O~ .O..>..?cf- DATE ISSUED 2 'd'l
BUILDER JJfAHtJ aJA1Jj ~UILIJE1L.$ 1*. PHONE #/;JIZ-3'9-5.3'11
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, I
PLAC NO CONCRETE UNTIL ABOVE HAS BEEN SI N 0
FRAMING "N <f; tJ s-
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
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