HomeMy WebLinkAboutBuilding Permit 00-0957
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CITY OF PRIOR LAKE BUILDING PERMIT,i.
TEMPORARY CERTIFICATE OF ZONING COMPLIANcE;
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AND UTILITY CONNECTION PERMIT
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L Whh, Fn, I PERMIT NO.
2 Pink City
). Yellow Applicant
R-iOlr LCt-ke
LEGAL DESCRIPTION (office use only)
LOT' BLOCK + ADDITION BFC.()O/csVltA,,6 I(Iu...S (# TH
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(Address) I (p I 0, 7
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Date Rec'd
1Cf19m
;el
PlD 25. 187. 048 - 0
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AlIe. K- ,'1Jy- u ke.
'~ By OWN6.e..
(Address)
(Phone)
&/?- L/-...{..o- 2/ J~r;
(Phone)
porch
OAddition
ORe-Roofmg
o New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
OAlteration
ORe-Siding
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 loca11aws and will proceed in accordance with
submitted pI s. 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 ,...:.. n ~. rneede . spections.
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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
l Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
(,J-' C)C)
11'2.'2 c;"
72.'4
3.00
es Your Building Permit When Approved
(0 '" 2 2 -'2ttq,
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
1
I
1
1
1
1
1
1
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
'--
#
#
$
$
$
$
$
$
$
$
Size 5/8"; 1 ";
$ /66.2/
I Paid LE$.-, d- J , I Receil'tNo,',L,Z..I;"'LY.j<
I Date ' 111~~ ,....:. d J By ("11'./
. ~ ~
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
~[A c::~~ c~n~Mes a tempornry crnmc:;:/~e and allows cOMttuction to commence. Bewre occupancy, a Crnmcate of Occupancy must be
V" ~ Date Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
Date
Mt..t.-e'L;)
/0-2:1.00
~~
OO~Oq57
Th~ C..nler of thO' Lake Country
White - Building
Canary - Engineering
Pink - Planning
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:
/(,-/ r; 7 1'>L ell( I'-.c.:.- III E.
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
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.~~
Date:
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Comments:
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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,"
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INSPECTION RECORD
-__ .-...... '.'_''1' _.
BUILDING AND INSPECTION
SITE ADDRESS It.,\'l.'l B1IIM",e.. A,,~
NATURE OF WORK....R.u\n.... 12.':rII.'_
USE OF BUILDING SFP
PERMIT NO, () 0 . () 957 DATE ISSUED 10 - 21- z....c..
CONTRACTOR ~,'\,... Ii:/:t- ~I.(o - -Z( Ie;-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
.... INSPECTOR
fY;:r ,
DATE
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
I
FRAMING
INSULATION
ELECTRICAL
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fl,fZtL ,e..~.l(tz.1ICD
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
I
I
I
HEATING I
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 shall be placed near main entrance,
"
BUILDING
ELECTRICAL
,
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
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1=; II lM9 rp_ J+Jf'_.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It:. I q 7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ..1'A:l
,J;!"jNSULA~?\D/
);r"FINAL
o SITE I ECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 'P6>i'c1
1/ t
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(ll9~e ~J0
q&:) 7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: .1Sl1aJA.tA Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/