HomeMy WebLinkAboutBuilding 01-0470
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Lf; 3'1 ,
~J"\rDcrA A
, - ----
CONTR.
OWNER
PHONE NO.
PERMIT 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
COMMENTS:
fl~
TIME
I - '-170
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
rJn;&>& ~~A' J ..Q_I-e t'/AA.t::t~r\
- -. ,
o WORK SATISFACTORY, PROCEED
o CORRECT ~ION AND PROCEED
o CORREC1Woin. CALL FOR REINSPECTION BEFORE COVERING
I
Inspector: I I I J Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
OJ
PERMIT NO.
-.I
'\ZONING (office use)
(Please type or print and siJnl at bottom)
tlPDRESS
....... /53'7 J tQIN~OU6.H kAlE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
IIhWNER
~~(N )
ame
rID
T (en) ~a- 7~-~~
. ~one) ~d - l.{Lt 7- '11~o
t-4Kf: A.-v 60~ 7J
&".~ I.&r: $AJ -n-3-7 rJ...
4.w C. /. D l4-V-4 t.
I!vcl.. q~
(Address)
1S."1ryl Ebi~OV6-H Avs-
AJE
P/?(O~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
(Phone)
~eck
o Fireplace
o New Construction
o Porch
ORe-Roofing
o Lower Level Finish
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 Pla1fs, I .l~ar ~at. bU. ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official o. r a designee may
enter upon the P'7J to {;tfm~ed inspections. .
X ,,/fj", l,h -. /7 I'1Ai 01
l/'- ~.. . <~..
,~! ~,:. Contractor's License No. "".~IIII 1~:::,,,,,;,,\'j/
I
I $
1$
I $
I $
I $
I $
I $
I $
o Misc.
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
/l
hi
OAddition
OAlteration
ORe-Siding
OUtility Connection
$
$
1$
I $
I $
I $
I $
1$
1$/Bt,.Oro
Paid
Date
/A?t _ Or,
'fL:Z!I,a/
11..
Rece~~fJ2-7
By f
Date Special Conditions, if any
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
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.
PROJECT COST IV ALUE (excluding land) $
S,DC"O .c:r;,
llf, '25"
7a.31
2.$0
Park Support Fee
#
Planning Director
SAC
#
I WaterMeter 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 t!RU.e1J
#
#
.s-/~. 01
fi-(-:-V2~1
Date
01-0 4-1 ()
Th~ Ce-nlt'r or thr L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r (..2:e. ( lo...r
5-/7--200 (
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/D7/ C~"vtkro<.J~ ~
./'
Accepted _/
Accepted With Corrections
Denied Q ~ (] ~
Reviewed B. ~,U/ ')
- /
Date: ~ - I '7 r- ?RxJ(
c~:~
'rke~ ~J ~ Jt
1- - '- - .....
"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
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS _(S371 f'Jll'^ ~eJ"'ou~ ~
TYPE OF WORK ~ 12 IX c;o'
USE OF BUILDING 5FC')
PERMIT NO. 01--04-70 DATEISSUED S-I?-~I
BUILDER Cu...~IC&..r- (,/2- 7~? - ~~2('
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I . DATE
FOOTING I c;JI- I q /L/{tJ2..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN"SIGNED
J~ I I
FINAL
J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850