HomeMy WebLinkAboutBuilding Permit 01-0339
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4-lq-ol
I,Whice File
2. Pink City
3_ Yellow Applicant
I PERMIT NO. OI-(J~~1
ZPltBofficeusel
(Please.!VDe or orint and sism at bottom)
ADDRESS
5f; ~l cNUWJIv (..'....:.1G-
ss.
LEGALgESCRIPTI,ON(OffiCeUseonlY1 Ii,,,_,). ....f) -:J:),'/l)/JP-, A~
LOT i BLOCK ADDITION (~ T) I \/lYe 0'
PID25 ----:335 'DDq-!J
OWNER
(Name)
J..,,,;...... .vi.u-,>~lt.}.
(Phone)
*0-7-011
'iQ.- '1'f7~ 't S'IL
(Address)
BUILDER
(Name\
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
)(Deck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
DLower Level Finish
o Fireplace
OAddirion
DAlteration
o Misc.
PROJECT COST IV ALUE (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
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 p'roperty f\ perform needed inspections.
X ---h -Vv.;.l-J", /"1 A-rr 0 I
. - - Signature Contractor's License No. Date
Permit Valuation 2.~('). Q"J I Park Support Fee # $
Permit Fee $ (,'1 . 'Z-S I SAC # $
Plan Check Fee $ 4~ J)/ I I Water Meter SizeS/8"; 1"; $
State Surcharge $ , .oJ I I Pressure Reducer $
Penalty $ I I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
Il
I Sewer & Water Permit Fee $ I Other ()l4~ $
I Gas Fireplace Permit Fee $ I TOTAL DUE. 7I-/t-Q' 01 $ //S.z.tp
I>>:~/" - I ReceiPt No. ~'-1 ~ ti 0
Building Permit When Approved I Paid /I 'j, ;..b
_Cf -?f)- ?PX/ I Date '1-- 5-d '0/ Bv 0'./
Buil gOffici Date
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 Cor all inspections (952) 447-9850, Cax (952) 447-4245
~\
White - Building
Canary - Engineering
Pink - Planning
Th~ erntr. of Ihr l..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --I- r U /N P / 'e- Y' 51! 4j lev
LI-IQ-o/
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(()/).f VLJOIv 0~
Denied
S~3/-
X--
/
Date:
t/~"d::J r ~o/
I
Accepted
Reviewed By.
rzJftM~b
"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
SITE ADDRESS 5s-'<.J ~lMrlC?)~k C,..,
TYPE OF WORK ~ \ c
, USE OF BUILDING _ S 1= (')
PERMIT NO. nl-033Q DATE ISSUED L{-~ ->tCXJI
BUILDER 'r;p'rc;-kc\.....t<c) 4l/7_ 20((
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR I DATE
I FOOTING I "'?,.\l ~ I 4 b7/ 01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SrGNED
I~ I I
I FINAL
.
Bx.
I c;ll~/ol
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\
DATE TIME
CITY OF PRIOR LAKE till? I" ,
INSPECTION NOTICE SCHEDULED ~
ADDRESS ,5~3/ ~ (J~..
II/M
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Sf-Y'3'1
o FOOTING
o FOUNDATION /B
o FRAMING
o INSULATION
'IIOFINAL
b - SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: )} ~
('1.t'H.1
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Ntuf' ~~
~ORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT W~ORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
, I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl