HomeMy WebLinkAboutBuilding Permit 01-0374
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4--18~O/
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 01- O~4- I
q>lease ~ or orint and sion at bottom)
ADDRESS
5959 M-1Ul/N/J-t..- /ZIO~I?/ nzlTI0
LEGAL DESCRIPTION (office use only)
LOT /~BLOCK / ADDITION ~/N',*- IZI/:>at: I rr
OWNER
(Name)
(Address)
ZONING (0_ use)
PVD
PID z..z:;-Z.t19- tJlf3- ()
(Phone)
~~~R2PY~ ;; /J1f)(/fffiD (phone) /!52-f/f//J--/73 f II-
(Contact Name) 7A'$e (phone) ;1~-~/-?76? u/.
(Address) 9757 {J~#ft~7,&. ~E74'~ C~Z; ~ ~72...
, TYPE OF WORK
o New Constroction
DLower Level Finish
jlMisc. 5IV1I4m1N1 PI''''-",
ODed
ORe-Roofing
OPorch
PROJECT COST/VALUE (excludin~ land) $
o Fireplace
OAddition
OAlteration
ORe-Siding
OUtility Connection
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 loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enterupontber'_r.~erf~~ctions. ,,/_/
X ~lii~~~ ~~ 77A11"t:7/
",.-~ Signature Contractor's License No. Date
I Permit Valuation
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
2/S0() .00
$ 74-. 7S
$
$ J. zs-
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
t-h~
"'-1"~/l1
-1 .,/ ,_
~'" ,OU. I ReceiDtl'lo. 'J;<CfSi:J-.d-'
U--~()-o I Bv fj4..V
I Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ ~(,.OO
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
7;Y~c~~:=o:tesatempmUYC~i:.~teg:lianceandaU~::cti;;~e_;~~j~';;:~nmstbe
- PJanningDirector ~ - ~~y .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter
Size 5/8"; 1 ";
1 Pressure Reducer
I Sewer /W ater Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE
I Paid
I Date
--
-,-~.OXPR.IOI\'.(7
!:::. ~
u '"
~.
White . Building
Canary - Engineering
Pink - Planning
ThrCtnlrroflhrl.abCounll'l'
BUilDING PERMIT APPLICATION DEPARTMENT CI:IECKlIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/ H X FIE L 0 J up) V I D
4-/8-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5(l'J q ('1-1 ALl I NI-I L 1-;:: / U 67 F:. 1 kY-I / L.
. ,
Accepted
.~
Accepted With Corrections
Denied
Reviewed By:
c~-~
~_ ~ ~/~ Date:
~ ."-.........
"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."
~1
White - Building
Canary - Engineering
Pink - Planning
Th,("nlrrof Ih, 1.....Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I1JqxFIE.,LO/ DP,VID
4--/8-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5CJ,SCJ MIeO/N4L R-I06,F; /KA/L
. .
Accepted
Accepted With Corrections "':::><..
Denied 0((1< 0
Reviewed y:' . L ~ ~
- /.
po ~'r'l-\- \? l\ pt"Y')\ LtH'&. ll)ufu. lJ ",{ \" -1-4.
.so-~7~ 1",,<. I::-wPV\ 1\As~ecL. a....c-Z
~
Date:
4-27 - ?n-'~ /
Comments:
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 59,'>~ ~~g~Ft~ rr-
TYPEOFWORK ^}~ ~l A~ 0t-e)u~
USE OF BUILDING SFC)
PERMIT NO. .-I>>~n~~ DATE ISSUED '-1-c.7-~1
BUILDER -fit AA' Hrlr1. IJ. '/& 5 -57 1- c/l~7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'~So~kt-e.VICR iV\~q,>rj.lt)'" I I~, I //I/A/~ I
~skJ..\ gcJ::~ ~~ ~ o..f>~ <2-.b. ~ r. 1(..'1) Ux,{ ePt'fl,. ~
'FINAL I lit>, I Cl.?O~61 l
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
'"
. . ,
~~T;i;O-O,
//"",;00/ It-T-
-Sc;S7 ~~ I?,"~~ ./
CONTR.
t-37rJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULATI~ J
Jl!'FINAL t)O l.--'
o SITE INSP CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~I..,l-
--r;;"r
f
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
9{)1:llAj ~,..... S^ \ {: c1rf'>id ~
c: fl"lltJ 1 \0\.. ~ \cui Z-'
ole ~ C~ sW/\-t \:rG
,0 YRKSATISFACTORV, PROCEED
~RRECT ACTI AND PROCEED
o CORRE K, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
7.98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
l/iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!