HomeMy WebLinkAboutBldg Permit 01-0681
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File [PERM
2. Pink City 11' I'l
3. Yellow Applicant
(Please typ~ or pr nt and siJro at bottom)
ADDRESS ZONING (officeu",)
lei
5t-/'1i C\oSSanrlrc."">+ 5 ~
<? r~ 0, La.)~
Mn
LEGAL DES :::RIPTION (office use only)
LOT 15BL DCK 2 ADDITION O,rU/JUV/t4..G.#IUS' (p V#
Date Rec' d
PID 25-/1';7- 02..9- 0
,
(Phone) q<::;d-. - lj l{() - c I <, I
(1c nIL'",,:tc:o l~
(Phone) 9<::;)", L{ (Io-?j '3')
.
(Phone) -'-I ? ~ll -9'1 ~ 1.1
~J, ~ r,~C)1 L ,,".I<.L.. frlYl. c.(<"-z.,J~
DDeck DPorch DRe,Roofing DRe,Siding
o Fireplace ~~ DAlteration DUtility Connection
OWNER
(Name) t-:2' '" t.
\~rOYeJ
r i?Jtj<;~r<"A.
s+-,
'S,L
(Address) J :;l/q 1
BUILDER
(Name)
\~ ,(' Ie. ~v.Q.r-
(Contact Nan e) (j2.. - r.\L
(Address) 15'<f97
1
l(' n)y.u--
C'/rtJ .)~~
TYPE OF W< )RK
o New Construction
DLower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $ 10 /) 0 r ..I
I hereby certify t lat 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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;te7;~~;::~o~::::;:ns. __' 6 ~2-Q -CJ I
~gnature r Contractor's License No. Date
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
lather
I TOTALDUEtAu-a? /./O'OJ $ let",. Oh
if;!' ..
J Recei ", N /20
Bv ___
II'
I Permit Valuatilln
I Permit Fee
I Plan Check Fe'
I State Surchargl
I Penalty
I Plumbing Pern .it Fee
I Mechanical Pe mit Fee
I Sewer & Wate: Permit Fee
I Gas Fireplace: )ermit Fee
#
#
5;- .oC>
/I /. '::6
7:;! .51
2.~
$
$
$
$
$
$
$
$
#
#
C2is cay'" Becomes fjur ~g Permit When Approved
(",,-,,5't:: &-2.7-200/
oglOffj.6al Date
I Paid
I Date
/13&,010
7 -/(- ,0
$
$
$
$
$
$
$
$
This is to certify th it the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by thl City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"S~)w,t^_ ..... -" M
..... t)Qing Director ~/~ / t9l (' ~a1 conditions~AA1 {
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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"
,
White - Building
Canary - Engineerin~
Pink - Planning
Th~ ('~ll~r of lh~ 1.lkt ('ounl!')'
r lAME OF APPLICANT
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
R\'c Ie K'IoL/C- r
(f~J/() /
J ,PPLlCATION RECEIVED
\
- 'he Building, Engineering, and Planning Departments have reviewed the building permit
llpplication for construction activity which is .proposed at:
Stpr; (7A./Jt:ZtJCL/J1~
, ~ccepted
x
Accepted With porrections
I )enied
Reviewed By:
NAR
Date:
)- 5 - 0'
':;omments: _ ~AA Rp.vp.rse Sirlp. for Additional Information!
:;
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
. 3\ Erosion Control Plan
"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."
~1
While - Building
Canary - Engineering
Pink - Planning
Tht' (-'rnlt'l of lht' t.kf Counlr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ,ME OF APPLICANT
AFPLlCATION RECEIVED
R \ ~ Ie r: 'fa l-fC-- r
~/;)-j/ () / '
The Building, Engineering. and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
St!17 (?'UKMCVn~
Ac eepted
Accepted With Corrections ~
Denied ) t2 I
Re viewed BY{ ~ ~cj:::s.
Date: {p -2/-200 (
Cc mments:
L)p~ S,^",ok De-\-e~ ~O(J~ oj ~ ~~
"Tile 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
anf 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 inances of the jurisdiction shall not be valid,"
~\
While - Building
Canary - Engineering
Pink - Planning
-
Thf ('rnlel oflht L.h(.'ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ .ME OF APPLICANT
AF'PLlCATION RECEIVED
I, \ (. Ie .k i (
/ . . ,. I
(1/ ,">' / ,i ;
'/: r
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
//).. }
/. /,
i
! /' . _.....-/
Ac cepted
v
Accepted With Corrections
De nied _
Reviewed By: ~
~---.
Date:
(, /-:2-~/ t9 (
,
:~~ ~ fX~~ ('~#~-6< ./JJJhYi_:
"Tile 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
pmsuming to give authority to violate or cancel the provisions of this code or other
or(linances of the jurisdiction shall not be valid."
..
PR OR LAKE
I SPECTION RECORD
DEPARTMENT OF
. BUILDING AND INSPECTION
SITE ,~DDRESS S"l'l.ry ('.I'N';.'9~c...
NATU ={E OF WORK CO~ A."Q&,<.A.
USE OF BUILDING SF D
PERtII IT NO. f'J/ 0(; 9J I DATE ISSUED t;, -27-2g:.d
CON1RACTOR I<l"O~I~ PHONE c-l'2.- !2.7-8~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
qATE
I WOf
I FOUNDATION (Prior to Backfill) I ~ It/13/tJ/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I FOO'rlNG
~~OR
I
J
11<(J~
IJ/~ &,
~
)0 ~!I- 0 J
II/Yr/I)(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
,
c1/?tz-
I !
BUlL )ING
ELEC :TRICAL
II::
n.
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
1 his card must be posted near an electrical service cabinet prior to rough-in inspections
a ~d maintained until all inspections have been approved. On buildings and additions
\1 here no service cabinet is available, card ~hall b~ placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g}'1 /~L 11:00
, .
ADDRESS
.5L/9i
~A;,~
OWNER
CONTR.
PHONE NO,
PERMIT NO,
AI-toN
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO
}J FINAL
o SITE INSP
COMMENT : .d.r.. ~ ~. 't\...:L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::::EcT WO~L :OR REINS:~::::::FORE COVERING
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ