HomeMy WebLinkAboutBuilding Permit 01-0407
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5- Z - 0 I
I. White File
2. Pink City
). Yellow Applicant
(Please!VD~ or orint and si2D. at bottom)
ADDRESS
J5'~O'1 FA,r-bl/{.,/<:s Trt:t,/ NE
LEGAL DESCRIPTION (office use only)
ZONING (0_ use)
1< IS1)
LOT I BLOCK
ADDITION
fJh ok Port ~()re5 hes PID~-I?~- (J()/-D
OWNER f3
(Name) r!.tee
(Address) J 5'';;''09
U Jr,'"h
ra..r ba..k5
7;.....' Nf
BUILDER
(Name)
(Conta~ Name)
,
(Address)
TYPE OF WORK
ODeck
o New Consttuction
OLower Level Finish
III Misc. Add Splr...l S-t-....... b-" Oed<-
o Fireplace
PROJECTCOST/VALUE (excludinglaod) $ l.,7()(J.tJO
OUtility Coonection
(Phone) qS;)..-JlYCJ-317~
&/a. 7P"l "'10t!J
Pr"lJr L.k,. J1,'J. SS'37<.
(Phone)
(Phone)
OPorch
OAddition
ORe.Roofing
OAtteration
ORe.Siding
I hereby certify that I have ftmtished 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'~yw"i 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 uPO~' v......~~j, to IJ..e1f.2"nn ~ee""de<;tnspections.
X //~ c:1r~ O!,-t?:J..-OI
\"....00"'" Signature Contractor's License No. Date
I Pennit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
1.1DO. od' I
l,o. \6 I
~ . cc. I
. ~C)I
$
$
$
$
$
$
$
$
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
L ) /1
( ~ . Becomes Your Building Permit When Approved
~. 7-~1
Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; l"j
[ Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
--I~-r(
L. It&" ~
~_-'J_1l1
. I
I Paid
I Date
{f)(),U I
..5=4-;'1
#
#
#
#
$
$
$
$
$
$
$
$
$ lOb. () I
I Receipt No.371:.?!J I
BVU/
. This is to &rtity 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
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
"
White - Building
Canary - Engineering
Pink - Planning
Th. Ol'nl.' Qf Ih. Lak. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~rUc.e. 11 Jr/rL
APPLICATION RECEIVED 5-;;;-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5()07 ~cll'rlxtlUks Tr )JC
Accepted
Accepted With Corrections
x...
~-
/
commen~s~
~~SOt\'o..L ~~'n\r- r~
f
Reviewed B :
Date:
~ 7- &>nolI
Denied
a.it~~
"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 I <;? /') t:; :+;.'t b....lc:.... I r-
TYPE OF WORK .Jl~, q,,::m& ~ll ~ Q).t P)(\~ ~fc
USE OF BUILDING ~t=f) a
PERMIT NO. ()/- 0407 DATE ISSUED ~7-74JO/
BUILDER ()Irl\r~ t..rl-7(J'i -l./'!fOfJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
\
IN\lVECTOR DATE
I FOOTING I fbrr I h, / I ( 113 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I"W(lrrJI~'" ".14 I Jt1:r 1/r/';'1/o;
~
I 11/.9-810/
I FINAL
,
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
"'
ADDRESS
/ 5 2tJ .,
DATE nilE
SCHEDULED rt/x/o1 Id.'d"O
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~( - Lfd 7
o FOOTING
o FOUNDATION
o FRAMING ~
a INSULATION
f:! FiNAl
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: S'..,:. 0 j ~
",
"(
)t1woRK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT wo~ ~OR REINSPECTION BEFORE COVERING
Inspector: , Owner/Cantr:
,,-
CALL 447-9850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
.-.