HomeMy WebLinkAboutBldg Permit 01-0752
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7-/2--PI
(Please ~ or OI nt and siPJi at bottom)
ADDRESS
I.White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. () 1--01 s-z-I
't::l.:y.-I ~ f\~pO/ 0 DSA -rfLf'-~ L
ZONING (o_use)
RI5D
LEGAL DES :eRIPTION (office use only)
LOT 5BL ::JCK I ADDITION
f( MohuAM f? /~"L
J" ri 0
PIDeX' -3i(~ -OOs--()
<:~-,,-l... -i-/Wvi ~WMClrJ
-15bL-1.3 p.f;poJOO'SA '/IL~(
~~;~)ER rv~rh>~M.g,r'M 9 DO)S~<)PA
(Contact Name) ~~ n~~VI.----' _
\AATJ WOc6J!J~ Dl'l~ \
OWNER
(Name)
~
(Phone)
L/t../O-/~
(Address)
(Address)
(phone)
(Phone)
J,()oC)~ \
( /"J:;- -+ --1'v- J 1/'/6
~< 1 ~i/ cS- Lj~1
TYPE OF we lRK
o New Construction
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
~
() oL_~:w:IrFiniSh
l..\
o Fireplace
OAlteration
Dutility Connection
PROJECfCOSTIVALUE (exc1udingland) $
I '-flOOD
I hereby certify tl at 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 'or 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 aW<5at the budding OffiClal can revoke thiS permit for Just cause Furthermore, I hereby agree that the Clty OffiClal or a designee may
enter upon the pn petty to erfo eeded mspectIons
X /J_:\ t ~_ ~ - 1-13-01
() "si2i1ature Contractor's LIcense No Date
I Permit Valuatio 1 , O.IlI'X}.rxJ I Park Support Fee # $
I Permit Fee $ i 'n~ 2~ I SAC # $
I Plan Check Fee $ ,l:;":<!lC) I Water Meter SizeS/S"; I"; $
I State Surcharge $ ! Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Perm t Fee $ I Water Tower Fee # $
I Mechanical Per nit Fee $ j Builder's Deposit $
I Sewer & Wate"Permit Fee $ I Other $
I Gas~1?lit~"l $ I TOTALDUEp~ 1~~ $ /~<::'
(:"A . " - "-:-;::;'.::7 ::,:~ H'.7~L I 10/ #J/5G"
Date
.1
This is to cettify 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
~~"ty PI"",,,, constitutes a tempo,,,,,, Cenilicate of Zonmg compliance and allows construction to commence. Bef",e occupancy, a Certificate of Occupancy mu", be
". -ll;;::-;~ec;o; '7Afa!~ ~Z 1\~~~~if~~T~<
24 hour notice for all inspections (952) 447-9850, fax (~52) 447-4245
~
G~~
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlf. of thr L.kf ('ounu'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.lMEOFAPPLlCANT ?O~{)/'f...<.' ([)~
AFPLlCATION RECEIVED 7- /3-0/
Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iication for construction activity which is proposed at:
/~() Lj,~ - fr!jJ~ looscL IV-
Ac :epted
Accepted With Corrections )Z
De nied C2 rv J
Reviewed By: ~.~
Date: 1.=.IB-;2oo I
Co mments:
l. D~ no\- D n +L p()Ol wi+,^ IdeS',n L>V\\.\l~ ~ Ch~ ~
;!l I\M.~A(~ a......& a...r~
"2.. J~l)rQ .J..kL ~nr (oJ~ ~l ~;~ atkW
"Tt Ie 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
an I of the provisions of this code or of any other ordinance of the jurisdiction. Permits
prE ,suming to give authority to violate or cancel the provisions of this code or other
or1inances of the jurisdiction shall not be valid."
~~
While . Building
Canary . Engineering
Pink . Planning
fh Ctnlf' oflht L.lIt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS"'(
Nt.ME OF APPLICANT
AF PLICATION RECEIVED
vc...(__
'J
7- / _7_m
I
Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )lication for construction activity which is proposed at:
~.." Of_..
J-.-"-
Ac :epted ~~ ~ Accepted With Corrections
<
~
De nied
..-,
~~.-r__~___
,r ,,;;..- __
Date:
') /i~/e{
Re viewed By:
...
J-t~U ~ ~OS~ < ~
M~fbv)s. ~ <~". 1-(n:< I
~~'l~;Z;?-,Q ~lCd,hM_~ \fJt90t<; p
"Th e issuance or granting of a permit or approval of plans, specifications and
cor lputations 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
presuming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
"(, ,~.,.', ..'t~ ,
, ~..."""t''';'''..'
(,..../ ,,' ,,' -." ":"'."" ,"1'r-.., ~7 'Y<',' '
Tht Ct'ltrof lht I..kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
tI AME OF APPLICANT ? ()A-{j)l-/YJl~P (j~
AiPPLlCATION RECEIVED 7-/3-0/
.
T 1e Building, Engineering, and Planning Depart'(\ents have reviewed the building permit
aj lplication for construction activity which is proposed at:
!f;(J L/;;; 12/,o4!ooso....... /J-
)(
A, :cepted
Accepted With Corrections
D,mied
Rllviewed By;
U'flfJ
. Date:
/-'5-0/
i
i
Cwmments: See Rp.vp.rse Sine for Annitinn::ll Information!
:;
;see Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Frosion r.nntrol PI?n
"Th 9 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
pre: .uming 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 'uOt.J~ A~a' J~
TYI)E OF WORK Tv. d>toOwi' ~~ (
US:: OF BUILDING -.-S r= J)
PE~MIT NO. O/~ 0752-" DATE ISSUED l-lB-'2eot
BU .LDER (P ~ -If'~fs PHONE # C-S/- 2t(E- 4"~1L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEWOR DATE
I FOOTING I ~ I 7/;; 'I/o) l
PLACE NO CONCRETE UNTIL ABt;.E HAS BEEN SIGNED
~ ~ SJ='~J ~. I I 7/A-7(D/ , l
"3c..~ltj r~,",,~ \Must- ID.<.. l''''spec.\--e.cl a....d. A..-V'Pt"d~ ~K. tdl..~ peDl w.-l-k Wa.1;:u..
I FINAL I (f-I) I &~-26"<J'- j
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
ADDRESS
IS-C)'!] IlfJflll{')Q5c,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
I/-:;).~l..
T,{
Pahf"""'1g.....lfOl? t
OI-75L.
tl!l'E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
6r~.AO c,y DIJv.d /')bot - (Jt'.
. . ,
49--/
~ ,,~ /' /
~ il t\" J /'
iH ~ /'"
v- /'
/
/
$.f:.,...
J(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: .ff~~ ~ Owner/Contr:
CAlle .....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
6 -~s-- ~(o.'a&
rQ /J PIi I ~sa....- V~
,
CONTR
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5"0 Lf,3
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
~INAL
o SITE INSP TI~
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
DATE TIME
1- 7sOt.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
~RK SATISFACTORY, PROCEED
o CORRECT TION AND PROCEED
P'tJALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
C
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II'f$NOTl