HomeMy WebLinkAboutBuilding 01-0966
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3()/
LEGAL DESCRIPTION (office use only)
9- *-0/
~,~:~e ~!~y I PERMIT NO.OV-O 0/ _1_/
3. Yellow Applicant . L I.PfI!J .
ZONING (office use)
LOT BLOCK
OWNER -=...1-
(Name) ~ t::- U e> _
(Address)
~ r;'tnfYler-
(Phone) t,; d - d-.':J-I- / I J- 9
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc,
PROJECT COST/VALUE (excluding land) $
o Deck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility 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 all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pia 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 operty to erfi m needed inspections,
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
s- 000 . OCJ
/1/-25
1"J2 (
Z.50
.00
mes Your Building Permit When Approved
9-s,~/
Date '
Contractor's License No,
7-~-C/
Date
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 ~U6D t/-Ir 1/7 $ zz~. 00
7
I Paid
Date
I~~o t/osl"S--
(;a~ , ~~
0/- ! -- I
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
White - Building
Canary - Engineering
Pink - Planning
Tht' ('f'nlrf or Ihe L.kr ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
6e/i1N6IC-, ..5T6V6
,
9-4--01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4301
Q U r:t 1C-6 ~ 7J2/7 / L--
Accepted ~
Accepted With Corrections
Denied ?:57J1.. ;\ ~
Reviewed By:\fD-VU / ./ ~
Comments:
,. ~ ;:teVtS S~l\M~ exce..oQ. exlsh~
2. ~r-c&> ~JiM\~ ~\J~ 4:;;) pJ.Qc~c....Ql~
~.
~ .1b} ClC'l'IJP(f ~ ~~~t~k
Date:
1- 5- 2ct::J /
"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."
c .
White - Building
Canary - Engineering
Pink - Planning
Tht' ('pntrr of rhe L.ke <"ounrry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r/ V'" J )\./ /, .' ,=- fr.
',4 If..-- / I, I "-~1'-- ,
,
':3T&vG
r--. . .
11_ 4- - ()I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'] /./
7___1.
G'_ . II ;.::--6-/<::.:..
;J:~)/L-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date: /-~- 2a::J/
./
Comments:
~A'''~ ~ ~ M ~ .~ ~.J\
"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."
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
30/
9-~"'O/
I. White File [ PERMIT NO.
2. Pink City
3. Yellow Applicant
J
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
OWNER -=...1-
(Name) ~,,-/reUF_
~ r,'rnrner-
(Address)
C/1L..<o
(Phone) ~/d - d-d.-I- J I J-9
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
PROJECT COST/VALUE (excluding land) $
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
"bmi"'d pl. .m .w~ "oJ "e buHd"", ofli"" om =olre ... prnnil '0' juu "'me. Fmthrnn~, I ."'by __ "oJ "e city oflicid m. ""i,." may
enter upon operty t erfi m needed inspections.
x
Signature
Permit Valuation s: 000 . OCJ
Permit Fee $ /1/.25
Plan Check Fee $
State Surcharge $ Z.50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
o Deck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
Contractor's License No.
f'~~-c/
Date
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 $
~ Paid
Date
j
f ~;ceiPt No.
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
PRIOR LAKE DEPARTMENT OF
- BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~~k- ~r-
NATURE OF WORK ~+' R~t.~
USE OF BUILDING ~
PERMIT NO. Ol-u/(o(P DATE ISSUED '1-S-Z:to(
CONTRACTOR (.2 t /~ PHONE b('? _ ~ ~ I _ " 2.- 'l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
= r J I
~i /. ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING &\o..cl ~. v~ Sk
d)
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card,$~a" b,e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850