HomeMy WebLinkAboutBuilding Permit 00-1021
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/I.llv'OO
I. White File
2. Pink City
3. Yellow Applicant
ZONING (office use)
04
(Please '!ype or print and siJm at bottom)
ADDRESS
/5,SO rTO.V\.'-.\I\~ \;.
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I
ADDITION
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PID:2S-I"7c/-OOI -0
OWNER (\
(Name) G, M. Nt'lT"~t'\14I -""fl'
(Phone) {./J- 'I31-l.P>Or
(Address)
BUILDER (L . ~
(Name)-G . M tJl'Ir~\..tL'f' ~.
(Address) 852'5 W. 1(..;S..ol
(Phone) (!~U ~1'J' '30' -10 1"'2..
TYPE OF WORK
o New Construction
ODeck
OPorch
[]Addition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
~isc. .ll.\\. r..",,'C:k
<~J...."4f
PROJECT COST/VALUE (excluding land) $ 10.000.00
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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 plans. I am aware that the buildi fficial ~an revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~/~~--
-\ ,j S~ re", 27 Contractor's License No. Date
I Permit Fee $ 1(p'J.. '2c;- I Park Support Fee # $
I Plan Check Fee $ 105". </(. I SAC # $
I State Surcharge $ 5.00 I Water Meter Size 5/8"; I"; $
I Penalty $ I Pressure Reducer $
I Plumbing Permit Fee $ I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace Permit Fee $ I Other $
" ~coroeSYOUrBUildingpennitWhenAPproved I TOTAL DUE ~ $ 272- .7 I
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Date
I Paid
I Date
'Z7z-,71
1I~~~bn
I Recei~t_No. ~
I By I"f>
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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
~i:JAC=1=n~roon~itutesatempOt~cemfi~;:7;lian"'nd'll<::~;m~~,;:cat;:;:;.
- ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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INSPEcro, for Plumbing, H
DATEJ1- 2't-?1')t;rl' nRMlTN" Outside Sewer ana \tVa[er
o ACCEPTEO AS SUBMlTTEO---............EIectrIcaJ. E:tc. .
..3ACCEPTEO WITH CORRECTIONS AS NOTED
:::~~~~.=.":: <~..... ----
. quirements including items not specifically not8d in this revl8w. / n' \ \
. KEEP THIS PLAN SET ON SITE AT ALL TIMES. r\"'OlIl'&z, V-eV\'h\Q,.~iO'Y\ -\0 a..
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ThO' {'..nl... of lh.. I..k.. Country
White - Building
Canary - Engineering
Pink - Planning
aUILDING 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:
/:; 7 ~-( Iii' /< c. 11\, /1- L-
Accepted
/
Accepted With Corrections
Denied
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Reviewed By: ~ A~
Date:
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J-B(~ oqy T~\ e/t-r,y- Rw~ l.1/ ~~ JP
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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."
01/15/1996 02:11
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MIKE NORTHRUP
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
G M NOktHRUP ~OR..P
..
I/-/b-()O
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15q 50 ;::'R/lN/CL-1 IV /,e L-
I
Accepted
Accepted With Corrections
:::x::
Denied ~) 0
Reviewed B(~ (?,./f.P - Date: _'1- '2. ~/"")
Comments:
I . ?m\J~ VCUt..Wcl:bM.. c...lr- -k, e,l! Co.\'Il.a....c::...
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..J,c;., c;n Ft'c........\d,'vL ~r-.
NATURE OF WORK t>...h,J.. ~.. k:- F;~t-,
USE OF BUILDING
PERMIT NO. () 0 - \ 02.t DATE ISSUED /I. 2'7' 2coo
CONTRACTOR Na~ (I..l{)- PHONE ~..II 1.\'l-30't.lol2..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-. -
~ll. Llr.ec..~_)
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
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, ,
HEATING (if required) ---- w...:t;,.....
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
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BUILDING
ELECTRICAL
1!!!P
DO NOT
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, '~
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 belln approved. On buildings and additions
where no service cabinet is available, card shall be plllced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I'L/r;;/r)() Id: Q.()
~ .
ADDRESS
IS9sD
F~I K. L /-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ -IOU
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
jl[>FINAL
o SITE INSPE T
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 GASLINE AIR TST
o
COMMENTS: 13l.&""
;;,
~ ~SD cr~ - NO
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~J..":"....~~~
(,/- ~ ~ ~~~dd:~~)
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,.....-_....""'''''.;..,.~.
P. 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!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IZ' 4. 0 0 1:3-.C>
ADDRESS
/,5950 ~;:Zr!f'/ tCL-/ ;J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - I oz. I
o FOOTING ~ 0 PLUMBING RI
;g::FRAMING \~ 0 MECHANICAL
o INSULATION 0 WATER HOOKUP
o FINAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo J 0 SITE INSPECTION
COMMENTS:(;)I ~ l~ <(....
fa,............... a.-LR ~II-.... .
@CJ~ 1t ~ /01 I~ ,f- ~ 6fJ
,~ - 11"':// ~c'i-- 'J)~~ ~ 'f
o EXCIGRAD/FILLlNG
o LK$HOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~~
I
Dl. -.h l! ,h1 H',.., :
o WORK SATISFACTORY, PROCEED
J& CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/