HomeMy WebLinkAboutBuilding Permit 01-0252
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4- -2-0/
(Please'!vp~ or orint and sign at bottom)
ADDRESS
I ~ 3 8fa
Date Rec' d
1. White
2_ Pink
J. Yellow
File
City
Applicanl
I PERMIT NO. 0 !-()Z,5zJ
6re~t-Y
Pt. ((~,
ZONING (office use)
-e1.Q)
SE:.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
Pa1rlcL M. PdYV"'S
I ~3gb Bf~'Zy.p t. ~. SL.
OWNER
(Name)
(Address)
BUILDER
(Name)
(Address)
ADDITION
PID
(Phone) (il~c..H40 -2S&'J
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
~eck
OPorch
OAddition
OUtility Connection
ORe-Roofing
OAlteration
o Misc,
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $ 2-CJ(;I:)..92-
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 o\Vner or
authorized agent for the above-mentioned }"Ul'''''HJ 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
;terupon thepr~dinspectiOns. ---1;/ ~ I
"'Signature Contractor's License No. Date
2,.,.,...=
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
$
$
$
$
$
$
$
$
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I". $
,
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I WaterTowerFee # $
I Builder's Deposit $
I Other $
I TOTAL DUE ~ $ //5. zC:,
4-..3-~ J
&'9. '25
4"'5.(') ,
I. Ol)
.~~mes.YOmBuildin~:;:;::(roved
uil . g Official Date
I Paid
I Date
//5 '?6?
-f~.f-tJl
I ReC~~?.3.37
Bv /J
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 construction 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
~~
OI~OWZ-
Th~ Cl'nlu of lhl' Lab Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
4-Z--n/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53f3~
/3.e562 V p 0/ All
,
j2..() I't:D
Accepted
Accepted With Corrections
Denied ~/1 ~ A
Reviewed ~f4/ ~/_ \
~:)s:~ WL
Date:
L/ Z~ /.4::J1
-
~r-n-.
~
"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 IS~fI~ ~e;z~~. ~
TYPE OF WORK j::;)odc U
USE OF BUILDING '3 FT\ .
PERMIT N9--- 0 r - 0 ZSZ- DATE ISSUED 4. '2. . 200 r
BUILDER '\{t,1'S. L{t.(O' .2i8!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I ~N~PECTOR I 5l':?t);;;TE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
"
~ I I
, FINAL
I I
. R L11 II j-z<) /dl
, .~
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
'\
-. .
ADDRESS
OWNER
t 535Co
~ TIME
SCHEDULED l' , A, (.
'B (Z..C:l..-"1-<-{ C:::l( ~
\ -
CITY OF PRIOR LAKE
INSPECTION NOTICE
CONTR.
PHONE NO.
PERMIT NO.
C:>'-l.-$"Z...
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: CAJ-D (..-t "P.Prt-<o"D~
f1-,~ c/f_
('//Jqy .'hCib
~RK SATISFACTORY, PROCEED
o CORRECT ACTION A ~~:ROCEED
o CORRECT WO~ rs OR REINSPECTION BEFORE COVERING
Inspector: f<-" Owner/Conlr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN<NOTl