HomeMy WebLinkAboutBuilding Permit 01-0297
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please rype or print and sign at bottom)
ADDRESS
S4t- 7 /50711 51
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION
g:W/NER
(Name)
Date Rec'd
3-22.-01
I PERMIT ~'D t-q7
1. Wbite
Pink
J. Yellow
File
Cily
Applicant
56
VOHN T77V5
PID 2.5 r 2.fDZ-- OO/~ 0
J~ ~u_H"q u~
~5/~ 7 /50"rln s+-
(Address)
BUILDER
(Name)
(Address)
$".~
TYPE OF WORK
o New Construction
I I
ZONING (office use)
'€/S.D
Ij0l16
(Phone) ~r -Yo/'Cl-/).b L(
M~'-t.- (dZ-- "1/9- OS"",
(Phone)
-1.:)ec;.~Ju r
,
ODeck OPorch
e,~y '5"ttv041. """... 89Cf' <fe, 0
ORe-Roofing
~Addition
o Misc.
OLower Level Finish 0 Fireplace
f't:.-VHCINC; :'
HrG &I OWIJe,"R..
OAlteration
ORe-Siding
OUtility Connection
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that r 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 prope reeded inspections.
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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
~\ "
$
$
$
$
$
$
$
$
3Qt:t.2S-
2'2/.0 I
II .I'JD
4D.l'.)O
40.0D
PROJECT COST/VALUE (excluding land) $
Contractor's License No,
.2.2, Q:::IG .60
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
SizeS/8"; I";
#
#
$-;;l.~-Ol
,~
$
$
$
$
$
$
$
$
I
I
I
I
I
I
~
~/2-0J $ *1.2b
I ~~c~3'e#-
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
i~ J1~___
~~
~p"on Bromes Your Budding Permit When Approved
fJ:;J!/Jr A s-;x,-?f:o (
'- Bui1~ Official Date
LJ/'" 191
Paid
Date
-9'1;7'7. z0
fA . ?/-----C--I
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th~ ernl.. of Ih. Lak. COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.sW/~GUM. 'JAV
. .
3-22-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54t.P7 /507H s., SE;
Accepted
Denied
Accepted With Corrections ~
Reviewed
Date: ? -2J.-'~/
Comments:
Eemo n fI. a-lkL.,l ~ _1) orr~
Cns~tOd-I~ 5'Ut un.....y:l'y Idll-.L.
Up~aL S~ ~ pe"r7
';?tlOO L......,..~ c..L:>k
(l9c ~qJ-:lLt~
"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."
~~
ue~
White .. Building
Canary .. Engineering
Pink .. Planning
Thr C"nln of lht' l..kt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKU~T
NAME OF APPLICANT
APPLICATION RECEIVED
51\' / r=,G(;f~/. :JAV
. . .
3-22-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5" 4 (/- 7 I::' 0 7}-1 "'---r S E
Accepted
~
Accepted With Corrections
Denied .
Reviewed By: ~
ab-~
Date:
'-IAl /0 (
"
Comments:
-&v~ bcnr2vv1 ~V1 AU~ /Jv..t-v
~~~"1 ~\r" ().. ~'i1JL<tt.9-/'~..
s:~~~ ~(~4'_ /~~ ~~~_
LL~b ~~ "id11.J.. a 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
INSPECTIO.N RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Sl../ (nt"-f "C)O ~ 3'\ . SE r
NATURE OF WORK '2 _.Q StnN_ A-&Q.<^ ,
USE OF BUILDING ~~ [) u
PERMIT NO. _ nl-OZg7 DATE ISSUED t./-II- 2 tX;r
CONTRACTOR .....l.o...u-.. ~ L 1"~1')"'"
NOTE: THIS IS NO:r' A PER'MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING ~ I \Ol~'i/Il(
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD~ ~ I fY:f. J>'//3/Dl I
,,' v FINALS
b,
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8ft" 1'f1/
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4IIIl.l~SSl! ~~~
r
BUILDING-r.t.o. -t.Jf ?/ 1/6 L
ELECTRICAL
PLUMBING
HEATING
DO NOT
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&. /,' br../o I
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bj}.()jo'f
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q, II ~,/';I
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~A-6M
. - ,
ADDRESS
S%7
/sol4 s/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(3/- ..z~?
o FOOTING
o FOUNDATION
o FRAMING
lESULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
./7 / /
/V~//?rc
-------===-
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( /' /Use
~
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~/ ;)
/"ZiIt I P
.--:::---
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~~~ REINSPECTlON BEFORE COVERING
Inspector: ~ OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
""""n
DATE TIME
CITY OF PRIOR LAKE \I)f1..I~ I '1f)'a
INSPECTION NOTICE SCHEDULED
.
ADDRESS 5'-1~7 / t:)a e:f,.. -d+--.
OWNER CONTR.
PHONE NO. PERMIT NO. 01-;;>''17
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 61f) 0 SEWER HOOKUP~'
~ FINAL I'jI'l'LUMBING FINA IT
o SITE INSPECTION :l7J MECH FINAL
COMMENTS: ~ .
(ll)(/~ ~ ~ ~
(?) ~~~~q~r
. ( 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
__________;-- 4J'. ~
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---
/....
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;
-
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W~CALL FOR REINSPECTlON BEFORE COVERING
Inspector: \,..,-- I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSl'iOn
Job Address ,<<<:7/5iJ,J(.5f-
Heating Contractor - Ii, -=->.
Name ofTester 'j~ ,S;,v'p;-<_
/./-t:?! - e>1
.~
~
~
./.3b oJ
Date
Percent O.
Percent CO
Percent CO.
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input