HomeMy WebLinkAboutBldg Permit 01-0738
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
JPlease.!YDe or PI nt and si2D at bottom)
1ADDRESS
'I ,-<;:~/J (' erJarwood
t. White File
2. Pink City
3. Yellow Applicant
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LEGAL DES :RIPTION (office use only)
LOT J Bt DCrO ADDITION S/i~ {j) ~
~
PID.J~ -" Jl5-/);}-1-0
~
): OWNER
(Name)
=k",<) ~r:frA
(Phone(6~/ ) - ;;) 5/- S-:u2
- ,
(Address)
BUILDER
(Name'
(Contact Nan e)
(Address)
(Phone)
(Phone',
DLower Level Finish
~eck OPorch ORe-Roofing
o Fireplace JfI..AdilltiOn OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
TYPE OF WI)RK
o New Construction
Dutility Connection
o Misc.
I hereby certify tl at I have furnished information on this application which is to the best of my knowledge true and COITect. 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
su~mltted lans I am aware the budding OffiCIal can revoke thiS perrmt for Just cause Furthermore, I hereby agree that the CIty offiCIal or a deSignee may
enter up e pr lperty to l' ~i ~L needed msp: ODS
X h~ Slgnaturei' Contractor's LIcense No 7--1t;;;f')1
~ ~
I Permit Valuatic n I I Park Support Fee # $
(9 /~'(2M
I Permit Fee $ I "JS. 2. Is- I SAC # $
I Plan Check Fee $ AJ .4 J I Water Meter Size5/S"; I"; $
I State Surcharge $ s: . "d I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Perm.t Fee $ I Water Tower Fee # $
I Mechanical Per nit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace! ermit Fee $ I TOTAL DUE l'JtueO I-I~-ol $ '1--09. (p{p
I Paid (-,Iv 7, ('0 (;., I ReceiptNo_ ;.; {; /4.:3
I Date 7- 'f~(1 I Bv f'tJ.f' .>
r ~ I u-
m~; 1 Becomes Your Building Penmt When Approved
.~ ).I?-abOO
, Build! )fficlal Date
This is to certify tha the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:~ b; ~ :i:_~ constitutes a tempo,,"y Certificate of Zoning wmp1iance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~- -:>!~ft ~~~,L~~~~"S
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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-
The (-tnle. of the L.kt (.'ountry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ,ME OF APPLICANT
,-:...?
.'
1.1 (~
AFPLlCATION RECEIVED)- /I-CJ I
The Building, t1gineering, and Planning Departments have reviewed the building permit
ap plication for' onstruction activity which is proposed at:
I
) r- /J I I' 'J "I
~._i ,_/ t i / ,i, i.. :,~,> ,i( U-
Accepted
~
Accepted With Corrections
DE nied
REviewed By: t:jt,~ -E~/./~
C< mments:
_ /im{jz.,ULt- AJ/1J11Uv ,~ ~ ~~
~ _ ~. ~-~ /J.e.JAtM4~ kla.(~ ~~
~ ~_ ( ~ d/'C~~e.5,. Or e-VV'6Y3' ()y) fhJ fJ~ ,
~ ~6Y~ 4- ~~Lk .4h1J~,
Date:
7/l~/e1
,~kQ
"T 1e issuance or granting of a permit or approval of plans, specifications and
ccmputations shall not be construed to be a permit for, or an approval of, any violation of
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr ~suming to give authority to violate or cancel the provisions of this code or other
or :linances of the jurisdiction shall not be valid_"
~:i PRIO""
t ~'~
u . rn
White - Building
Canary - Engineering
Pink - Planning
Thr Crolrl of thr L.kr ('oUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N),ME OF APPLICANT Q~ j)f'Y1 f-~
AF'PLlCATION RECEIVED i- 1/-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr7~;/ivity ,;!~~ cL
Ac cepted
Denied n.
Re viewed By: \.;I:f~
Accepted With Corrections
Y-
Date: TJ- ti- ~(
Cc mments:
t. Up~ ~kWCJJ-" ~an.J=-J-LL
lNw~ ~
"The issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an( of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pn lsuming 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 r~O(/tl(1
SITE ADDRESS S<:::7l (>orO r;l,)-~ ~/
NATUlRE OF WORK ~...p""......l.....! ,a.:,~_L,. ,
USE OF BUILDING <:::c I/)
PERf\IITNO. (il-073B DATEISSUED 7-{7-'2aa(
CONTRACTOR j\...-J.c.G... PHONE G~{ -2ll _ Q~L-
NOTE:: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
rsOILDING AND INSPECTION
_ l otTE
I~
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
: If,,~
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~~~
'/1' /611
q rW "I
I
I
L...2.!.1.k1
I f,/?~i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~:.
f;J;r,
j
I/J
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/1.1//.01
BUlL [)ING
ELE<rTRICAL
==.
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
llhis card must be posted near an electrical service cabinet prior to rough-in inspections
a nd maintained until all inspections have been approved. On buildings and additions
11 here no service cabinet is available, cara shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/zl7/" ;1 7
ADDRESS
55//
! /.--><'/1 C< L f/ ;'l-;-" ,-( 0,,-1 f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/J (_ 77" '-:J
._f, t'1 " I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP (j;_
o SEWER HOOKUP ,
o PLUMBING FINAL A,
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
K FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
( I ( (tCL\
'-.---
,. J'L, l'-'
'--;T-', t
., WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
';::;:>
Inspector: L) _:~ Owner/Contr:
/
CALL 447-98501'OR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETYI
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