HomeMy WebLinkAboutBuilding Permit 01-0180
~lease.!VDe or Drint and sien at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L Whi.. FiI. I PERMIT NO.
2. Pink City
3. Yellow Applicant
444 ~ eOl1eHl1rJN tANe AlE-
LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK / ADDITION ~1E?/2111 t!fi (5 /IlL-US 407H
OWNER
(Name)
(Address)
Date Rec' d
3-/1'-0/
/
() 9J() I
/</
PID Z5~314-~ ooz~o
t30!?J KLA I I
LjI/'1~ C(J/IcHm,lfp {Aile N~
(PhO~:;uJ L/ '/5' - 8'238
J),. 1V,/l.Jl q6Z-35"/~S399
rKI()fL UK! /1111I 5S?7"Z.
/
BUILDER
(Name)
(Address)
(Phone)
TYPE OF WORK
o New Construction
OAlteration
PROJECTCOST/VALUE (excluding land) $ 30eJO.OO
OUtility Connection
~Lower Level Finish If"p ~ Fireplace
.3 ~.s
o Misc.
ODeck
OPorch
OAddition
ORe-Roofing
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
exnler upon rhe ';V"J;; pe7;p:sctions. "/.4
vr~ ~- ~_ """~'I""":Z: 0
.~~ Contractor's License No. "l."~
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 Firepl~ce !ermit Fee
/"") I }/ I A
~s -.,", nBecteSYour~uildingPermitWhenAPProved
~ ?'{f:-~I
uil mg cial Date
I
$
$
$
$
$
$
$
$
I Park Support Fee
[SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other ~U;,C;~!E1~
I TOTAL DUE .34"-() I
#
#
$
$
$
$
$
$
$
$
1.00
$ /:57. 25
.111
I ~~7}f't3 Q30 (,
This is to certify that the request in the above application and accompanying docunients is m 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
'14- . '7~
#
#
/.so
Size 5/8"; I";
4-tJ. a 0
4<;.00
I Paid /57. 7 ..,
I Date 3-"2.3-t'J1
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
01--0\&"0
Th~ ClI'nll!'f or lhll' L.kll' COIORIr}'
White . Building
Canary . Engineering
Pink - Planning
BUILDING PE,RMIT APPLICATION D..EeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)C.L.-A / I, 80B
.3 -/4-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-4-4--~
~naH/'1frN U1N6 )Ie
Accepted ~ Accepted With Corrections
Denied OJ'? ()
Reviewed B/.f.c..?tA/~ Date: 7-1!S-~/
l'
Comments:
/J - - -P' II ') I tl
(~~ ~ row..r ~ J,'"^",~k ~~~
"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 DI!PARTMENTOF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~{, C?~ ~
NATURE OF WORK ~ ~___-.J.-..... .
USE OF BUILDING
PERMIT NO. 01- 0/ ~O DATE ISSUED _~ -CS-:'2sJO/
CONTRACTOR~\o K\A-r-- PHONE "tSL. -3c;-{ -~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~
IF
I
I I
PLACE NO CONCRETE NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired
~(
, fI/;n
r/la-/Ol
7/1~/tJl
. -
B-::r 7/(}/DI
~. 7l1//J1
b, -7/-;1,., l
. !J 1-_
ih... , '7 f:;::>t 'I;) I
~.c.r / I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.(It;..P
G.g T-&.t-
"
BUILDING
ELECTRlcCAL
PLUMBING
HEATING
DO NOT
A
b;),
I
/.?-/~/
-
IIO:>r .
~
V
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrlcai service cabinet prior to rough-in inspections
and maintained until ail inspections have been approved. On buildings and additions
where no service cabinet is availabie, card ~ail btl'placed near main entrance.
,
I.;J./~I
1d-1-"J-~fJ/
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE Iz/:J.F/ol /1):"0
INSPECTION NOTICE SCHEDULED
ADDRESS ~L/~t, ~ ~ -
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING A PLUMBING RI
o FOUNDATION WE MECH RI
o FRAMING ~ b WATER HOOKUP
o INSULATIO 0 SEWER HOOKUP
III FINAL 0 PLUMBING FINAL
b SITE INSPECTI 0 MECH FINAL
IN - /30
COMMENTS: L. Go.
a EXIGRADIFILLING
o COMP
a FI CERI
IREPLACE FINAL
o GASLINE AIR TST
o
.L
'""'!'''4'-:~,
..,......
- '<<{
reAR IV '!
I
I
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: < ~ t Owner/Conlr:
I
CALL .&47.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'NSNOTJ