HomeMy WebLinkAboutBldg Permit 01-0620
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or ~t and sign at bottom)
ADDRESS
:3 0 S-/j
6-I-O{
I PERMI~/~ OIt;ZO
I
L White
2. Pink
3. Yellow
File
City
Applicant
b16V) (7,,/y--c<;;r 0/ r
LEGAL DESCRIPTION (office use only)
LOT U BLOCK ~ADDITION \...11~Juuycxi (\)o..Jv.y
OWNER
(Name)
(Address)
f) (lid f. _ I!Yl (J-<Y
Aofr
BUILDER
(Name)
(Contact Nafne)
(Address)
TYPE OF WORK
o New Construction
DLower Level Finish
Date Rec'd
ZONING (office use)
R/SD
r;s+- PlD a ;; - 3e:,{) -o:J 7-(")
(Phone)
(Phone)(,.,/,~-3r:-?:3 -i'lrf 36
(Phone)
ODeck
~ch
OAddilion
DAlteration
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
I hereby certif)1 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 agef1t 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 plaI1$ I am aware that the bU11dmg OffiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the city official or a deSignee may
:ter upo e pr:; to p~e);Z"cl1o~S / ~ L/ r; t, _ 7-{) /
J y ~gnature Contractor's License No Date
f'
I Permit Valualion 3,(In. t!)(';)
I Permit Fee $ Pl3. '2.c)
I Plan Check Ilee $""'" 11
,~7.
I State Surcha~ge $ I . 50
I Penalty $
I Plumbing Pe mit Fee $
I Mechanical' )ermit Fee $
1 Sewer & Wa ~er Permit Fee $
l(;gasF' (~~e $
n. !, I
This Lti B es Your Building Permit When Approved
G,-11-2t:o/
o Misc.
Date
I Park Support Fee
I SAC
1 Water Meter Size 5/8"; I";
\ Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
\ Builder's Deposit
I Other
I TOTAL DUE l'A1IA,b() (p, U; (] I
--.
I Paid
I Date
1.-1 l(, '6 CO
tr :21-0 I
#
#
#
#
ORe-Siding
Dutility Connection
$
$
$
$
$
$
$
$
$13e.6(O
I Receipt No.-=5'1's( ~ '1
IBv ~
This is to certit)! 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
~d bYtk\ty~lanner ronslitotes a t,mporary Cmifica" of Zoning rompllanc, and allows ronstroct'on to comm'nce. Before occupancy, a Ccrtificate of Occupancy must be
-J\;,-' ~_.' C,/;cllJ'/ .
Pluming Director Date . Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,
-----"-_.._,.._._~-~--~---_.._"._--- ..--...-.---..--.-.------..
"
<I
White - Building
Canary - Engineering
Pink - Planning
Thf Crntjorof Ihr LabCounlry
,
BUILDING PERMIT APPLICATION D~PARTMENT CHECKLIST
NAME OF APPLICANT
/ i
I
lTJ- () I
l,,"'} .........,.
I
APPLICATION RECEIVED
I
I
T 1e Building, Engineering, and Planning Departments have reviewed the building permit
a Jplication for construction activity which is proposed at:
, .' '7' 1,1 /:~i:.-(J;-:;'{'v.-,r" '/ A
/.') V/ . A....../.i-'
}l ccepted
c/
Accepted With Corrections
Cenied "7 ' . ,I 11 ..
F,eviewedBy: ~~~.
t2\fiv8>~ ~ {)t7Y~ AM~T,:erJ ..
Date: ft /ICz /.91
"The issuance or granting of a permit or approval of plans, specifications and
<::omputations 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 c~ncel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
~
~~
White - Building
Canary - Engineering
Pink - Planning
, -
Thf (tn~rr of tht L.kr ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~PPLlCATION RECEIVED
I
11C0u ~/
i)~-;~o J
The Building, Engineering, and Planning Departments have reviewed the building permit
aJplication for construction. activity which is prOpOS~dj a~: -+----- ;)
: :Jt1!;;7 ;/~~UC/U4--f f ~
~ccepted
Accepted With Corrections ;?<.,
Denied ~~_f(
gev;e~d.,\ J&r 7
Oomments:
Date: G,- /1- 2t:r)/
"The issuance or granting of a permit or approval of plans, specifications and
cpmputations shall not be construed to be a permit for, or an approval of, any violation of
al1y 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
SIT~ ADDRESS 3DS? V;~u\ C-~~ c.... -
TYPE OF WORK Scl'eQI^- It?lrk /4' X l2. t
USE OF BUILDING S~J)
PERMIT NO. n,. ()(/JZO DATE ISSUED
BUILDER Va \,..,'-.CL ~~ (p 12.. - .n 3-4 B ~b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
I FOpTING I ~~ ~NSPECTOR I DATE I
I PLACE NO CONCRETE UNTIL 'AB~ HAS BEEN SIGNED
I FRfMING I I J
'FI~AL ~.\)~ (t? l ~(d 01 I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
,!
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~Cf")
SCHEDULED fa /').-'7 If) I 1 ( : I S
(J,~~
- ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01 - 3a'3
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o(;FINAL
0' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
IliI> MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: -::g 1& .
<t)I~ ~IO()ol
\ \ l l \ 1
_ I1trz::tG.l'Wi () f'Vrouee..-1y U
-l l I \.
+k~
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- CJ:rL t1rAA 1ref'S fer- de<)etOfM~'1
~1 ~
( L ose ~+tv\l11
. ------
--01-4::::,(;, I 1tDI~("2D ~
/
-
/,WORKSATISFACTORY,PROCEED 1Ss4e 1-elAA(.J C,C)c
o CORRECT ACTION AND PROCEED I
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ \) (!~ Owner/Contr:
CALL 447.9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSl'iOTl