HomeMy WebLinkAboutBuilding Permit 01-0250
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I. White File
2. Pink City
J. Yellow Applicant
I PERMIT NO. () 1_ ()2SaJ
~lease.!'a'e or print and sian at bottom)
I ADDRESS
;s3/CJ GOIN W fin:: ;e, -rJetq ( L./
I ZONING (office use) I
J!?.2SD
LEGAL DESCRIPTION (office use only)
LOT B BLOCK .3 ADDITION (;Lt//IIW~ 2,..IJO
PID 2S~3foo-IJzA-~O
(Phone) f.j. '1."=),} - t.ll.j 1- -lOft
"~':'e~R ""3'()ILAL _<::.cJo^(1 K~(&l ~JTh...-T
(Address)
. BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK 0 New Construction ODeck
JQ"Lower Level Finish 0 Fireplace
~. 3 &1S
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V 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 agent for the above-mentioned r.-r'~:J' and that all construction will confonn 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 ~ to J{erform ~ded inspections.
X '_:~ ~/d..4/{)1
--=-- . Si2nature Contractor's License No. Date
I Permit Fee $ 7.(-. .,5 I Park Support Fee # $
I Plan Check Fee $ I SAC # $
I State Surcharge $ 1.5"0 I Water Meter Size S/8"; I'" $
,
Penalty $ I Pressure Reducer $
Plumbing Permit Fee $ *d.oO I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas F~ace Permit Fee $ I Other $
// 7 I TOTAL DUE C"'f (..{;e U I $//ft:J.25
is n s Your Building Permit When Approved 4--3-al
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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 m~y 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.
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Date
I Paid //(;,_Z-~
I Date 4--1tJ-1') I
Planning Director
Date Special Conditions. if any
24 hour notiee for all inspections (952) 447-9850, fax (952) 447-4245
o I-OvSO
Th~ Cfnlu of thf L.kr COUlltry
White - Building
Canary - Engineering
Pink - PlannIng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT " <:::;/1~L/ (!,H~ lA/V I
3-2-4-01
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33/9 6t-V/l/ W/TTB/G- 7J2ItI1l.-/
,
Accepted '-/
Reviewed By: .
-
Denied
Date:
'5 .le.> ~ lori
- - ,
C({;Jt-Wu
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l~W~'J ~Qo..Xc
"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 DEPARTMENT OF
.' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .~ 3/'9 C/~~ C I r--
NATURE OF WORK ---1J)~J 6x.. IJov...d (?) KccJ.,,-~
USE OF BUILDING Sf A ~
PERMIT NO. _ ,01- 025lJ4- pATi ISSUED f't-'t,o - 2PW(
CONTRACTOR ~AAQ.~rft- fNJCJJ'!XiSX PHONE_ fc;':;~l(!{? -~/() Sr.
NOTE: THIS IS NOT A PER T FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY EPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
1; -V tWlJ
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l
~ ~~ aJ,'t(
1; ,,\) lUi
4 (~IO(
. 'I
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
({If'
f71?
t1/Y"
OCCUPY UNTIL ABOVE HAS BEEN
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 ~ placed near main entrance.
'" ~
y,.-).2. -03
<:C' )/f- -0;'
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SIGNED
Call between 8:00 and 9:00 A,M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
o FRAMING
[] INSULATION /' /
..IFf'INAL v f (,.... (
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
"
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(11 lb,P
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'Thl/.-rr
----
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/ / /-r.,-
t I I ( he
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---
DATE nME
/ - .In.>
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
-.........
"
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-----
o ~ SATISFACTORY, PROCEED
'CORRECT ACTION AND PROCEED
o CORRE~. C;LL FOR REINSPECTION BEFORE COVERING
,11_1J7
Inspector. IV' OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-,
CODE REQUlREMEN18 ARE FOR YOUR PERSONAL HEALTH & SAFETYI