HomeMy WebLinkAboutBuilding Permit 01-0665
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT S - ;< 3-0 I
I. White File I PERMIT NO tJl S
2.P;"" C;<y . -OIAJ~
3. Yellow Applicant l",CO
~1ease ~ or nrint and sign at bottom)
ADDRESS ZONING (ollice u.,j
/.5" ;;;SCJ
Fairba~ ks
Iv-
1<15D
LEGAL DESCRIPTION (office use only)
LOT {p BLOCK ADDITION -yn~
~ am pSot--/
OWNER
(Name)
ncuv
D~~ ilG'-03l..- oCXs:.-d
.
(p~~/J..- >1/0- ~=3~l.f.
Qs-J.- l./l/?- 0/ /t./
(Address)
BUILDER
(Namp\
(Contact Name)
(Address)
(Phone)
(phone)
o Fireplace
OPorch
OAddition
ORe,Roofing
ORe-Siding
TYPE OF WORK
o New Construction
~eck
DLower Level Finish
OAlteration
OUtility Connection
o Misc.
PROJECfCOST/VALUE (exc1udingland) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle and correct. I also certify that I am the owner or
authorized agent for the above-mentioned r-~~;"ni and that all construction will conform to all existing state and local laws and will proceed in accordance with
'tted plans. am that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
on the ... rm needed inspections. ~ /")} ) tJ I
Contractor's License No. ' Dale
x
I Permit Valuation I bot). 2#00.00 t I Park Support Fee # $
I Permit Fee .Z;I) ,('h $ {,. <(, I.. ~ - SAC # $
I Plan Check Fee 3"7,08 $ (I~ t:>f Water Meter Size 5/8"; I"; $
I State Surcharge .M $ , -" I Pressure Reducer $
-
I Penalty ; $ Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
\
I Sewer & Water Permit Fee $ I Other 4~ ~~.6AI $
I Gas Fireplace Permit Fee $ I TOTAL DUE r · $ qt!- C/3
~. Your Building Permit When Approved ~ 4' ,:,', q" I ReceiptNo,-iq~d.
~~2t/-~/ Date 7 - ,c;-o Bv ~
bate
~ that the request in the above application and accompanying documents is in accordance with the qty Zoning Ordinance and may proceed as requested. This document
'be ~t~~~::=Cmfi;o~~mg~~~limceMd(:bUamo toco=:ce~:\ =C:;::~ muR~
iffig Director ' Df ~Cilil Conditions, ifany
24 hour notice for all inspections (952) 447,9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink . Planning
Th,('t'nlC'rof Ih" tab ('ounlry
BUILDING PERIllULAPPlICMlON D~RTMENT CHECKUSI
NAME OF APPLICANT _OI2IJ '--\ amn,c,IJ;U
-,
APPLICATION RECEIVED .5- ~ ~-t)J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5d.51 h,'rDat../Ks Jr-
.
AccePted~ --' Accepted With Corrections
Denied a/d) ()
Reviewed B: . "ZI ~_~ Date:
L-V ....-
(L)~ #-t 44-f/
~~2a:!J/
I
"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."
. ,.I,.":;'
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The Cpnler 0' the I..k.. Count!'}'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEeARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
f\Af-1 d~5D;...j
~</ 1,2 3 /c; I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
aPpli5~~on for, cor~f~yc,\j?n activ~hichi{l.PtopOsed at:
I ~ L sCf I:-;~Q..: \/~K<;b/'4 '
V
Accepted With Corrections
Accepted
I
Denied _
1"'. IA
Reviewed By: --/~~~ '. -__
Comments:
~(..(<
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- ~ ,
Date:
7 /G3/~ I
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.
"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."
~
:I'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS IS? ('""q h..,.,..lt,_lc:::...c:: fjr:.
TYPE OF WORK ~""'f" {- ft.., - f\ L -r- 10 X U3'~ ,.
USE OF BUILDING S'1=_t"'I /
PERMIT NO. ~/- 00.1..5 DATE ISSUED s::. 2" -2aCJ1
BUILDER _ ~"""'f"""'-'L. M2 -C(o-EJ7~</
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
, FOOTING I ;;;:~OR I 7 / q;;~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S'IGNED
~ I I
I
I
,
I FINAL
Call belween '000 and ~000 ~.;~~.....~n~\ 0\ \D\
FOR ALL INSPECTIONS 447-9850
,
.
ADDRESS
/,-('~
DATE TIME
SCHEDULED q,- /-0 J /I T
7/)~ fyvJu) J,J
CITY OF PRIOR LAKE
INSPEcnON NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I-~c:':)
o FOOTING
o FOUNDATION
o FRAMING
It 0 INSULATIOJll//
..H1'INAL IJ t<..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(x
( /
~RK SATISFACTORY, PROCEED
o CORRECT ACTI~C!D PROCEED
o CORRECT WOR .\J t FOR REINSPECTION BEFORE COVERING
Inspector: ~ - ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl