HomeMy WebLinkAboutBuilding Permit 01-0280
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4-tf-o /
I. While
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO'O/-Oz..00 I
e or rint and si
at bottom
-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I
ADDITION ~asftJJ" S
PID .$..roo '/0010
I::: ~;::~ Ln;~~~
I BUILDER
(Name)
(Address)
ZONING (office use)
(2./
(Phone) ffo ~?.s-
$,-ttH~
(Phone) s: """'1'::
~ New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
TYPE OF WORK
OAddition
OAlteration
PROJECT COST/VALUE (excluding land) $ /J 040
OUtility Connection
o Fireplace
o Misc.
tt..-
ORe-Siding
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
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 property t perform needed inspections.
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,Cl::O. C!lO
Park Support Fee
SAC
#
#
Signature
Contractor's License No.
Permit Fee
$
$
$
$
$
$
$
$
Pressure Reducer
Wa.,
0:u
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter
Size 5/8"; 1 ";
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Date
$
$
$
$
$
$
$
$
ecomes Your Building Permit When Approved
TOTAL DUE
tf. 5". ZOC>l
Date
5)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may roceed as requested. This document
:~; ,j ,d by th, C Pmnn" oon""ut" a tempo,IDY C2i~;;n;oomPlian" and allow;r~::.Jm~B~::a ;::;::~ mu" b,
Planning Duector Date ~ SpeCial CondItIOns, If any
24 hour notice for all inspectinns (952) 447-9850. fax (952) 447-4245
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White . Building
Canary . Engineering
Pink - Planning
Thr ("rnler of ,he L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/I-ry OF PrZI oK- LAk.5"
4-- 4 - 0 I
The Building, Engineering, and Planning Departme ts have reviewed the building permit
application for construction activity which is propos at:
5 G ~ TH ST, t-'IEf''IO'
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
11/ ~/S
Date: ~-t-ol
Comments: See Reverse Side for Additional Information!
"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."
~~
D(~O~gO
Tht' C..nlt'ror lh..l..k.. Counl!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f-ll-:J\( OE..E12-1 Ot2- LA K.5'
4--4-01
The Building, Engineering, and Planning Departme ts have reviewed the building permit
application for construction activity which is propos at:
5 ro T1-/ ST.
Accepted X
Accepted With Corrections
De,;,d ~A
Reviewed By .
Date:
<1- "! Zro(
~
Comments:
~W.gnJ \2ec,. ~ cr-~wJl
"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."
.~~
61~Ouf)O
Th~ ('t'nln or lh.. 1.lI.lu Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
h'i ;, ,,- , '. .- / \." -~-
) \ (-1.) '1-.1, <:-" / /'I\'C I ,'\.:,{, ,L' k
/
Accepted
,/
Accepted With Corrections
Denied ~
Reviewed By: / ~~~
coX;
. (5\J6Y~ ~ {JULVlIL
Date:
L{/l.O/8 {
Sl-1.Btr ev- ~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,"
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~("O ~ St.
TYPE OF WORK ~~ s.~
USE OF BUILDING
PERMIT NO. 0 -
BUILDER Q.;
NOTE: THIS I NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED </- , - ~ I
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING " I I
I FINAL I iJr I /,;l//~/O/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. .
.'
''\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5t~{
OWNER
DATE TIME
SCHEDULED
[/-),J-o:<
/ (di- S -f.
CONTR, LJ '-1'/ o-f! P,/or Lt;/(e
PERMIT NO, 0 It - ~":;2j;O
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
c::e:..EINAL
o SITE INSPECTION
COMMENTS:
r;n::,~-< - 0 K...
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
B"E~LING
'OCO~T.
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
ra <J. -
Inspect: ~ ---
- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
11'15N071
ADDRESS
~/ll7
<
DATE TIME
SCHEDULED I~ ~.?-,
/'~AI.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR,
PHONE NO,
PERMIT NO,
IJ(-~~
o FOOTING
o FOUNDATION
o FRAMING
\J ..INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~/~
'P~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~L FOR REINSPECTION BEFORE COVERING
Inspector: . J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
DARG, BOLGREAN, MENK, INC.
Consulting Structural Engineers
7575 Golden Valley Road Suite 210
GOLDEN VALLEY, MINNESOTA 55427
(612) 544-8456
FAX (612) 544-8914
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DATE:
W Y CHECKED BY
I HEREBY CERTIFY THAT
TIllS DOCUIlENT WAS
PRI:PARED BY liE OR
UNDER IlY DIRECT SUPER-
VISION AND TIlAT I AN A
DULY REG1STERED
ARCHlTECT I
OF WINNE A.
SlGNATU
DATE
REGJSTRATIOJol
.
ERTEL ARCHITECT:
11/01/00
1795 SAINT CLAIR AVE. 5T, PAUL. MN 55105
(651) 696-5186 (651) 696-511\1\ FM
PRINTE02-V-2000
I
07'VO