HomeMy WebLinkAboutBuilding Permit 01-0463
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please!VDe or Drint and siRn at bottom)
ADDRESS
340(, sv~no;e6 7K?/I/t- SW
LEGAL DESCRIPTION (office use only)
LOT
ADDITION R.t...S #/08
BLOCK
OWNER-- ~ ~
(Name) l~fk5 :..J. c;iihfeiJ
(Address) 3L/tJ6 S'fC/l/hO~-e Ik. <;,...{)
BUILDER /1J~.. ,,1 ~
(Namp\ l/u.dVelC-
(Contact Name)
(Address)
Date Rec'd
--01
1- ()tt'Hp 3
ZONING (o_use)
If!. /SD
Pill 25 ,?/B - 0.04--0
(phone) .2517 ....qlf7- :3 ftfh
(phone)
(phone)
DLower Level Finish
o~k Worch ORe-Roofing
o Fireplace oAddition oAlteration
PROJECT COST/VALUE (exc1udingland) S -1/j,~tJ
TYPE OF WORK
D New Construction
o Misc.
ORe-Siding
oUti1ity 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 pI s. I am aware tha e bu. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon property to perfl ee (1' . ons.
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I Pennit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Ynf%n=YourBuil4:;'~ved
~fficia1 Dale
. ,
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE UIf,I...El:)
I Paid
I Date
:")"d-' I. Co It::>
5-;)-<J--G J
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6"-n--ol
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Dale
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I Rece;ptNo. ?fi,:K/
By (,..L/
U
This is to certify that the request in the above application and accompanying L ~.._.___._, is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner constitutes a t.......rw...... Certificate of Zoning compliance and allows construction tdl ~.___'_.'h. Before occupancy, a Certificate of Occupancy must be
isSU" U. _ _ _ . L. .^ b-. I> (I. . 11:7-
~(~ S/~(01 ~~)~>~ ~
Planning~r Date . SpeCIal conditio~ '1
24 hour notice for all inspections (952) 447-9850, fax (9~2) 447-4245
"
Thr ('rnlfr of thr L.kf Count.,..
White - Building
Canary - Engineering
Pink - Planning
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
E / C /17[; ~ 'TH[;/'v/l-j5
4 - zo - () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ""?4 () fi ~~ l/ /;)--) l/ (/c!-C /7Gi-) I L-
I
V
Accepted
Accepted With Corrections
Denied /l
Reviewed By: q .A..-t.. ~~ ~ -=?"~ -:"'__
Co ments:
Date:
s/ct/~ 1
~~. "C'J
~
~~eu< ~,4r~ ?--,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."
~
"
~~
White - Building
Canary - En~lneerlng
Pink - Planning
Thr Crnter of lhe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTNIfNT CHECKLIST
NAME OF APPLICANT ?r.:::L.i-...-^
APPLICATION RECEIVED ~- 10. -zc,~/
...
..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
sC; 0 & ~ \ C4./A..? J"---P r J ~
,
.
Accepted
Denied
x
Accepted With Corrections
.
Reviewed By:
Mil/"
Date: S'-Io - 0 1
Comments: . See Reverse Side for Additional Information!
"
R,eaAttachments: 1) Erosion Control PI::!n. 2) Erosion Control Measures
"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 01' 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 St.(O(P ~ CCJ.w-.....r---ll.. "' it-.
NATURE OF WORK j:J,./d;J.,UV\. 5'u",- ~ '7 X loS'
USE OF BUILDING 3Ft)
PERMIT NO. 0 1-o4fo:S DATE ISSUED 4 - "2. c.f, '2.a>e> /
CONTRACTOR JII'I....{....~.- 1S-2. QC/?<3t;tJfo
NOTEt THIS IS NeT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING INSPECTOR /<!;./ I ~rE
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
FRAMING
INSULATION
ELECTRICAL
UlIIkr FlQO'tr..,.,^~,,",\
rfk.
b+.
~
t:/~
LI.""~J
-/~<1'!!
II /
~ / e::r t?-fi/l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL,S
AId{' ~/s-- d7
c;L-
"
BUILDING
ELECTRICAL
1,!ffi/ e1
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE nilE
3/tf/t; c( ,~
,~~ ~~-e_~ ~o.:Q
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
A 0 INSULATION
fr:!r FINAL
t SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Of .l{(p3
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 1 ~ ~ ~~~CJ~I ~
~.
("J...e->e-. h Le. "
~RKSATlSFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s::o~ECT~FOR REINS::::::EFORE COVERING
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
INSNOT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
?'L/O~ 5YC~h1(,rL
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~-,t.I&L
o SITE INSPECTION
COMMEtiTS:
br4"u - 0 J(
CONTR.
PERMIT NO.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
DATE TIME
l/-IS- -0.)
el-l/6
~LLING
o COMPlAINT
o FIREPLACE RI
o FIREPLACE RNAL
o GASLlNE AIR TST
o
*ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl