HomeMy WebLinkAboutBuilding Permit 01-0281
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4--/0 -01
I White
2 Pink
3, Yellow
File
City
Applicant
r'ERMIT NO. 01- 0 Z ~ I
(Please'!yo!:: or vrint and sign at bottom)
ADDRESS
/4z(p4- 1'1/7lJ~ C!lK.-U6
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK 1
(Q~)
(j~ame) ~)IIU, D
ADDITION
n,qpt-b flltA-
<----"
I/Z- /Ins. E L
ZONING (office use)
,e/
PID 2S-0f32.- 008-0
(Phone)
tEl-(.,
~S..2-lf9(' -/,).s(,
(,12..- S9q~3~2-
(Address)
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK 0 New Construction ODeck
}.fLower Level Finish 0 Fireplace
~J I- .GA1S
OPorch .
ORe-Roofing
OAddition
OAlteration
o Misc.
ORe-Siding
OUtility Connection
PROJECT COST/VALUE (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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
SUbm~~ans I am aware ~that the buildmg officIal can revoke thIS permit for Just cause Furthermore, I hereby agree that the City official or a desIgnee may
:teru;S:::J2.77spectlOllS 'I ~ /0,- I
, ~lgnature ) Contractor's License No ~
,-
I ReceiPt~_ ,?-'I3 -J ()
By I
(
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc~d as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consnuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~
~
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fe~~ $ 4-0.00
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas FIreplace Permit Fee $
~- /1./"'1 /7
h::;r;~r:r::Ulliling ;:::e;:r7d
BUllcJ,l;5f1iit Date
I
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
Size 5/8"; I";
PJ7.2S
z,..oo
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other et.,l5<:!;1""EI (!/
I TOTAL DUE
I Paid
I Date
~
4-41-tJl
- .../
I ::5U1d-:J
iJ-ib-() J
1
;~
#
#
#
#
Planning Director
Date Special Conditions, if any
24 hour notice for al1 inspections (952) 447-9850, fax (952) 447-4245
$
$
$
$
$
$
$
$
100
$/30.25"
~~
OI...oz,BJ
Thf ("rntrr of thr Lakr Country
While . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
77G/BB5L, DflV/O
,
4~/o-()/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4z(p4- M/TO/C/I e-/.ee-LE"
Accepted
Accepted With Corrections ~
Denied G])/I& J.
Reviewed : ~:.vrh-c/ ~
. ,/
Date:
t.(- ('0 -aval
Comments:
fkJ.~ L9-#~~~J~
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1l/7&l/ M ...t-I"\kc.. G-;:-
NATURE OF WORK ~ ~ a- .h..^-.,~J."^-
USE OF BUILDING SFD - -
PERMIT NO. n 1-()L8I DATE ISSUED q- 10 -"&sol
CONTRACTOR -n:lI~...J ~; tb~::~;":';:~?-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCnl:: I c UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
AMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~NO WORK UNTIL ABOVE HAS BEEN SIGNED
____ I I
" FINALS
~,,0~
,
't ,,0~.
--g ~ \}ll..Wt
OCCUpy UNTIL ABOVE HAS
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, c.ard :shall be placed near main entrance.
s-) ~5.1~H
! .
s-J~!/C1
BEEN1~~~~D
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
ADDRESS
!LiJ, ~4
DATE TIME
SCHEDULED 5- J-j -6/ Cj,,"crcJ
/21/ /-h k' 0. (11 ~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - ;;,A'I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A -Q-FINAL L L-
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:
LC~ )
/'
---
)'f WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, fALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. \1aJM OwnerlContr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IIVSNOTJ