HomeMy WebLinkAboutBuilding Permit 01-0406
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f1'lease ~ or print and sim at bottom)
ADDRESS
/t,(,73
~/~
/fA'#'/1
LEGAL DESCRIPTION (office use only)
LOT/r-BLOCK /
.:ro ~NNJI/ I
~T~l'k/f 5'
ADDITION
OWNER
(Name) '7....Lf(Ju, ())
,
~ ~/Z."T, "J
(Address) .//_/..?'? #/lht/A "7/'u9./L
BUILDER
(Name\
(Contact Name)
(Address)
TYPE OF WORK
o New Consttuction
ji.-ower Level Finish
o Misc.
4-2.7-0/
/
1. White File
2. Pink City
3. Yellow Applicant
-04-001
ZONING (office use)
/f!!../
AI- :. t/I~ R AI/) #D1).
PID .:2 ~bD7tJlS'^
(Phone)
f'S-::l- .y'>l7-~6.,..7
(Phone)
(phone)
ODeck
o Fireplace
OPorch
OAddition
ORe-Siding
OUtility Connection
ORe-Roofing
PROJECfCOST/VALUE (exc1udingland) S
OAlteration
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 r>."r-.J 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~:;;:;;;:;;;~ections
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
3Lr'lD ' ~
74. 7S-
I . C;;O
40 .t7tJ
I Park Support Fee # $
I SAC # $
I WaterMeter Size 5/8"; 111; $
I Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
lather $
,}I:." . --
I TOTAL DUE 0't! $ / / fl. 2.S"" I
I Paid Ill.. .L~ I Receipt N3.:;..55.J
I Date 5-,-.01 Bv 7}f' ~
~ .
This is to ~t 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 brthe City Planner constitutes a ,~"",,~'-J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu~~n~~: 5/3/81 ~_-fk: ~f?s...-~<<.8o\4
ning Director Date -- . Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 .
/
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G~~
White . Building
Canary - Engineering
Pink -Planning
Thl' ('l'nlrrof Ihl' L.ke, Country
BUILDING PERMIT ~PPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t I f\K--n I\!, '-.1 G kKCU)
4- ll'-( I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
I L I( 73 A N IV A-ll~ A I L.
Accepted
Accepted With Corrections _ ,/
Denied /'l /'/7
Reviewed By: ~/iJc::?'~
Date:
L)/,~(
Com ents:
~ ~'7Y"' I AuJe.v- ~Ni2 Rvu-ik ~
1-~r~~o '
(9....& \ ~ () L. /I fJ 2 ' t.j{) (~ ~t!-c:..S~( ) t:..o <.
~'-~. ~ tt:Yr> I ~~Q/ (d/e J-, 0
~ ~ ~afJ \~~ ~'vy~
h~c C2::Y V t<YQIAl\P/<- l^" - - \ f\-./'M\a..r"lZ1 ...
- /-~ ~'\ ,~ v~....-, (
~.- .."
"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,"
~~
White . Building
Canary . Engineering
Pink . Planning
Th" ('''nl''r of lh" t.b Country
BUILDING PI;fWIIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MAQ1l tJ j ~ b1<ROLD
4 -l--i--Q I
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I tc~ 73 ANNA Ile-AI L
Accepted
Denied .IJ;2
Reviewed B//,f~
Comments:
Accepted With Corrections
Date:
q: 'So ~ 200 I
J
~~
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Y.. ~ ~ I ow..v-l~ ~:~\-J(
~IM.~ ~cko:; f)..eJ- l'l?? UlSc.
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"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'" DEPARTMENT OF
. BUILDING AND INSPECTION
"
INSPECTION RECORD
SITE ADDRESS J.l.I.i7.~ tk'^f> ~foO.ll
NATURE OF WORK lo...-I~i -\~~ 4
USE OF BUILDING .~f= f)
PERMIT NO. f)/ - O~~ DATE ISSUED (/-30- ~
CONTRACTOR M~,-,,--- 'lS2- C/q'>-~7)
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 CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
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11;(/
7. -If)
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~. "II/tin-
; "flIP
>-10
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'-- I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Vl1/
/ {)-yd{
OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough.ln 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.
I/W
rvr./
HAS BEEN
Io--J-~
IO~<.- V7
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/{,I;73
t1 ~~ rr-,..
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jir FINAL (" t....
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
----
/'/ I
L !~S~
'-
DATE Tl1IE
ft'J.. ~
/I /- 4'cJG
o EXlGRAOIFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~-- )
1'1
Ill<..
/
~
AWORK SATISFACTORY. PROCEEO
~ CORRECT ACTION ANO PROCEED
o CORRECT ~RK~;'L FOR REINSPECTlON BEFORE COVERING
Inspector: V vr- 10' >' ~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
UG1<OTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!