HomeMy WebLinkAboutBuilding Permit 01-0418
CITY OF PRIOR LAKE BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. Wh;~ F;I, IPERMI
2. Pmk City
3. Yellow Applicant
o. 01, DA-I?J
(please ~ or nrint and si... at bottom)
ADDRESS
Is~ '7 ..r;,;r.&.~h Ti
Pr,'n L b
ZONING (office uoej
f< IS 0
/lIe:::
LEGAL DESCRIPTION (office "" only)
LO~ BLOCK ADDITION /)1tuJ./p SArn./k} ~
OWNER
(Name)
(Address)
PID dC}- 03~-CKJ3-o
toY"!
1 S?-z- 'i
lA) L;r;rJ:-
.;:;, ,.-b",.,,t 7r /VcC
(phone)
957- V9"O_ ~,jv
~~~)ER L';'/ddGH-1 ~.rdvc/;r/-\ (Phone) ,?{;'hf"tlt/~ 8')~1
(Contact Name)"'":\) .) Go ^" ~.....".. ~.rc. h (Phone1,
(Address)'lC,2..1 lo-\-~ ~ IV". QI", 1Vl.....A\..... mr^l ,rr-'t./V I
,/
TYPE OF WORK
ODed
o Fireplace
~.Roofing
ORe-Siding
OUtility c.___~._
o New Construction
OPorch
OAddition
OLower Level Finish
&-t:isc. lAJ,..... cI a".,~>> ~ir
OArteration
PROJECfCOST/VALUE (excluding land) S Sfs nO 0
.
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 t 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 OJ to perfo neede(Jspections.
X
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
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
1$
I $
I $
I $
J$
1$
,
l/ t; ()f"l/L..t, >CJ
, ~4?? ~
~ A-S..t:aJ
':l '). ..;:;;:)l
I
40.00 I
I
I
I
I Park Support Fee # $
I SAC # $
I WaterMeter Size5/S"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Oilier $ I
I TOTAL DUE tAttED ."'l,6,01 $ /()+I.,3h I
I ~;.tto. :<''1.''''/{)
(ZYourBull~;~~7ved
Building 0 cia! Date
I Paid
I Date ? -If) '"Imof
I This is to certify that the request in the above application and aw__.."Y.......ing documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:';::1c:p=t~atem~ctttifi;;~n~:mpliancemd:;~:mu;:;7~;'~~;~
C5 ~ 1>lmning Director Date . Special Conditions. if any J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
--
White - Building
Canary - Engineering
Pink - Planning
The Ctnlrr 0' Ihr ukI' COllnl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i.. I Ad S+r6i?1
_5-;;;-6/
UJ1.JS+V--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6-.Jd-.<J FO~/J1~ /V!;
/
Accepted "'/ Accepted With Corrections
Denied Gl),rf:)
Reviewed y: './:"' &1 b-
-v- ),
Date: S--7~d:;Jo(
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."
'". ~~
Th~ C~nlfr of lh. ukt Country
White - Building
Canary - Engineering
Pink - Plal)nlng
1 :
BUILDING PERMIT APPLlCATIONPEPARTMENT CIjECKI.JSI
NAME OF APPLICANT 1_ I /t,{/ sf 1- u rn c.u tv <;" i j..--
APPLICATION RECEIVED ----lI.'J - d -OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/S-;) d:; F-)('l_hj-?!k~L- ..:.-:i-^c-- )JI;;
Accepted
1./
Accepted With Corrections
.....'
Denied
Reviewed By:
Co
(}~t1~~~~J .-
e,Q ~ V2e:~~ OF &~~.
l:C'r'~t~)-/P_ //;\1-_~_ 10 ~~ ~~_~),
Date:
,~/7/~1
,
;..
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 152~"1""~kc::.1r-.
NATURE OF WORK k. U S1aotI.-U. ~0L..0)l.. RaI01L--
USE OF BUILDING SF D . 0
PERMIT NO. nl- n4-I'6 DATE ISSUED S - PJ- () /
""' -
CON"fRACTOR LJ.1i0511?12.fv1 ('1) N5:TI2- . . ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
~1~ A- ~/~/t)(
ffi1.: L 't.I?/dl
;'
c.,l<.c, ~15~',~re/ &:t, ~~/6f
~/t..- f}1-i (p 1(,. I
, I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LJ I I
FINALS
BUILDING
ELECTRICAL
~~u'" ~ Q;,..a.;
HEATING
DO NOT OCCUPY
~
~
~.
12r.
-
1/1210 I
I I
I
UNTIL ABOVE HAS
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.
7/,1-16/
7w/,1 /
BEEN' siGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TlIIE
cItY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l)-)O rJJ
ADORESS 15217 ret,'rJ.,,,,,,KJ. T('l
OWNER CONTR. L,NIs.JrrJ", c;,,,,(/.
PHONE NO. PERMIT NO. O/-o4-(tJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
f.)C('FINAL
- 0 mE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
rxWORK SATISFACTORY, PROCEED
"0 );ORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
,,,,,",n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
1-/J--ol /1';30
;::0A/2~
TIllE
,
ADDRESS
Ib~~9
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- u/ i
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATIO((j)
o FRAMING
o INSULA TIO
.A!l"1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r
~
...~
~:...~__,",4"'''?__\ _,,;,."ri""-""'"'
.
<--C)JU-- (Lh $- Ol-{)S ;;.:2.
/111U f1UJ ,~
~ .
'.woRK SATISFACTORY. PROCEED
bV CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~ I Owner/Contr:
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
ADDRESS
DATE nilE
SCHEDULED '1-- 3 -6 J II; t50
JS;}-~Q Fa:ub~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J-tJ/f
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ SEWER HOOKUP 0 FIREPLACE FINAL
~FINAL -e-PLUMBING FINAL 0 GASUNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS@ - ~~ ~{'~.....o (J"v--
- ..j - /)
~;;t&. ~//"Lc>Z'-"'-41 ~.~
/!S'5'l t4-.JJ _NLJ ....<rI^- D">'tl ~ b4 ~lA
l:./ '
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 201 HOURS IN ADVANCE,
CODE REQUIREMENTS tIllE FOR YOUR PERSONAL HEALTH .. SAFETY!
INSNOTI