HomeMy WebLinkAboutBuilding Permit 01-0181
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,3-/S-C)/
. (Please type or print and siJm at bottom)
.' ADDRESS
Date Rec' d
I. White File
2. pink City
J. yellow Applicant
L
/45b 0 Ofl.t::L/I/110 t3eK!H
ZONING (officeu,,)
12/6D
LEGAL DESCRIPTION (office use only)
seer .30
LOT BLOCK ADDITION OI'lKtANO ~ I $'T
OWNER
(Name)
(Address)
~(BUILDER
(Name)
O;l/ll~ t;t?VS ~.
/~~ M kid
(Address)
;'(fYPE OF WORK
o New Construction
PID 25-9.30- /OO~O
(Phone)
(Phone) 99- ~ 2bO/
- ~JJ)?N, 1111 tt(1 ,
DDeck
DPorch
~e-Roofmg
Il2rAlteration
ijdRe-Siding
DUtility Connection
, [Jdi1isc.
DLower Level Finish 0 Fireplace
'R~ "&"S~~ .\-0 ~AXC.~
DAddition
PROJECT COST IV ALUE (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 ag for the above. entioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted pi . I am a at Uding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
\;er p pro7 dinspecrions ~ 37/Z- '7rIItAl. .sj !;2aJ1
Signature Contractor's License No. I Date
IJ
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 Penhit Fee
$
$
$
$
$
$
$
$
83.2~
S'c(. II
I.c;n
mes Your Building Permit When Approved
?-IC;:~/
Date
3,800.00
I Park Support Fee # $
I SAC # $
I 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 ~e#..rk:../ I
TOTAL DUE '?_/&'.'" $/3B.g~
. ~. . _-7('.OC/
I PaidM9 7'-,00 ;:S.Z-f),O/ Rece~. - ~
I Date 3-/.n) (gz..8C.. ~ ",_n I
This is to certifY that the request in the above application and accompanying documents is in accordance with ttfo City Zoning Ordin
when signed by the City Planner constitutes a ......./'"..../ Certificate of Zoning compliance and allows construction to commence. Be
isSU~
Panning Director
and may proceed as requested. This document
occupancy, a Certificate of Occupancy must be
31i~~9t ~~ ~~.i~.Q.,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Thl!' Cl!'dll!'r of Ihl!' lAb COUnl1')'
()/'O/~1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
e.~/S77ANS, j/J(!...;
3-/5-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4560 O/1Ku:JAI.o ~D'f&l
Accepted tX. Accepted With Corrections
Denied ~ () ~ /'
Reviewed By:l r:; ...i;::5 Date: '5 - rr:;---l<<J (
" " j7
Comments:
"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
SITE ADDRESS 14<'(oD oal:Ce.. J2 ~
NATURE OF WORK fL, 'fJ-c.JJ.- ~~ ~f'
USE OF BUILDING ~p
PERMIT NO. ()/-o/ IJl DATE ISSUED .S'-6~~1
CONTRACTOR .-DA.",~.\.,'c.-v~. PHONE..9<""JO" 'f?() -7MI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
,
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
ELECTRICAL
0,
~/~1Id I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
t~~m- 4 3/~1/&J
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.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7'~'dl Z-tuf)
ADDRESS
/4-St;o ()#/CUffI!O &@1(!I-f
OWNER
CONTR.
PERMIT NO. 0 I - Of i /
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (iJ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
o SITE INSPECT 0 0 MECH FINAL
COMMENTS: ~9
~
,,,,V
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
""".
aaWORK SATISF
I~ CORRECT A N AND PROCEED
o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Conlr:
/
CALL 447-98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/