HomeMy WebLinkAboutBuilding Permit 01-0142
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
.3- 2-01
(Please ~e or oriot and sign at bottom)
..,DRESS
I. White
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO. 01- 0 142- I
/Ii045 I'1RL-l...rt;eO Wit if 56,
LEGAL DESCRIPTION (office use only)
LOT e BLOCK Z ADDITION tJfI:1J€.O/Nffl- ,lZ{ O(#G 2/1/.0
.-mER
(Name) A-1v' o,I2Gw #'elf)
(Address)
BUILDER
(Name) SRJ16
(Address)
~ OF WORK
ZONING (office use)
PfJD
PID ?fS-3D7.-1'J/7-0
(Phone) 2 ZIA - 2.5'+4-
teLJ,~/Z.' 309- o'lhS
(Phone)
~eck
o Fireplace
oPorch
o New Construction
ORe-Roofing
oAddition
o Misc.
oLower Level Finish
oAlteration
PROJECT COST/VALUE (excluding land) $ Z 000 . D 0
oUtility Connection
/4-~ /t.
ORe-Siding
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 plans. 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 upon the PIJlierty ~perfolf nee;e;j!J1Ppf)o'lJ
X I~~(~ 3-2-0/
~ .. s~ Contractor's License No. iIIiIIl
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
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
fdQ. z5"
45.0 I
/.00
Water Meter
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
~lS ~~ B omes Your Buildmg PermIt When Approved
12./ ~-"\'~,
-- - Bull g OffiC~ Date
Paid .3 -,5 -0 I
Date 3-$-0/
# $
# $
$
$
# $
# $
$
$
$ /IS.2(P
I Receip9Jjo.39DG,3
I By .(/JA,/
,f
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 constnlction 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
Th", Ceo"l... of thl' L.k", Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~E_LJ); ANDeF~W
3- 5 -01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&;04-6 MALLARJ)
. -
wAv
I
Accepted --r-
Accepted With Corrections
Denied /J /7 ~ )
Reviewed BYW L/ 0P
Comments:
Date: 3-6'r~
Cl,,} ~ eM LJ 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."
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J~q5' Malla.tt:i Wa.....(......
TYPE OF WORKTbrt- JC( Jlll~lJ
USE OF BUILDING C;:~D
PERMIT NO. (,)/-()142. DATE ISSUED 3-5"- 200/
BUILDER k\Ai_ Q.4!U-(.I2.- 3d1-0'i~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ( ~ATE
, FOOTING I '?,).)~AN~ I 51 C4lJ{)(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 'SIGNED
I I
"
, FINAL
.... .
I JY;r l/tJ/d-Jr!o /
If'
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
SCHEDULED 11.i! zh t A. ( .
~kL
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/10 0"-/ S:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (lJ
o INSULATION
FINAL
~ SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ fL
,....i
DATE TIME
()(- j~e-
o EXIGRADtFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT a. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I Owner/Cantr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!