HomeMy WebLinkAboutBldg Permit 01-0627
Date Rec' d
(,-1-01
I PERMIT N4 ~ 2-~
.
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 '!ype or PJ int and sign at bottom)
ADDRESS
/503'1 1'117j\!I7VU ~flD
LEGAL DES CRIPTION (office use only)
LOT 6 BLOCK ADDITION
KOPP5 !3/J!/
/
PID 2S-05/-tJQA-1;.
OWNER
(Name)
(Phone)
(Address)
BUILDER e J, 7J /J
(Name)--f 'J/L. Ft/rV.x.v. f..--.O~D.
(Contact Nan e) ____Ljqud J./.'sJI,.
(Address) ~ 1J!f ~ 1l!Jift>~J-Jt'-.~.'/:- J;
I -
(Phone) 7lc:)F~ - 417 -/91.. ~
(Phone) J,./~- ";;n.~-A'-I-<".<
I hereby certify t lat I have furnished information on this application which is to the best of my knowledge troe 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 tha e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pJ Jperty to per nee d inspections.
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/ /_. ,
/ /' .I
I Permit Vatclatil In
I Permit Fee $
I Plan Check Fe, $
I State Surchargl $
Penalty $
Plumbing Pem it Fee $
I Mechanical Pe mit Fee $
I Sewer & WateJ Permit Fee $
I Gas Firep:a~J;mllt Fee $
~.]; Bee es Your Building Permit When Approved
BuildiAOfficial (p- te7al
F
TYPE OF W)RK
~orch
OAddition
OAlteration
o New Construction
ODeck
ORe-Roofing
DLower Level Finish
o Fireplace
I o Misc.
PROJECT COST IV ALUE (excluding land) $ ,,(.S~
LAb; 8ro, L "r~
Contractor's License No.
----
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
\ Pressure Reducer
Sewer/Water Connection Fee
,I, __
#
.~
'2..5"/. 2("""
11..'<. rl
7.SO
#
#
Water Tower Fee
#
. Builder's Deposit
lather
I TOTAL DUE tI/UeJ)
8 . 15-(}/
I Paid
I Date
K 1J1t-~(\
I ReceiptNo.
Bv
ORe-Siding
OUtility Connection
"-./o/-~
Date
$
$
$
$
$
$
$
$
$ 4-Zz. _ 0 {.:;
<-{o5ih
(J:-.' ~
U-
~is 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 .
'n~U~:M;;;:~c,rufi'i7;;~mceandill~;tO~r~
!~~ Director Date Special Conditions. if any
24 hour notice ror all inspections (952) 447-9850, rax (952) 4474245
~
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('t'nlt'r "r Iht' L.kt' <,'ountr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N)! ME OF APPLICANT
AF PLICATION RECEIVED
'1 ~J' f\
V" 1\/i4v'/V ~ V-JP1./
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Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iicatio~i for c~:~truction a~tivity Wh~Ch is ~~oposed at: I f\ fi
I <..: i _-,-:2;0 M /AAA-\ I c~J V~y:.
~
Ac :epted
t../
Accepted With Corrections
De nied
Reviewed BY:o/1,A.,. Vl - ~
Date:
~/13/&1
Cc mm nts:
I
.
I~] 4r ~/'h ~-L'rJJevl 6,$
~..1. L 'L( ~ K.. J 2. A- LA w~.L.e/V ~
. -
"T he issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
orjinances of the jurisdiction shall not be valid,"
White - Building
Canary - Engineering
Pink - Planning
Th~ ('~nl('r Df lhl/' l..h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.II ME OF APPLICANT
AF PLICATION RECEIVED
12/\/8rwAL6 D51/.
U; - 1- 01
CJJ ~p
Th 9 Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
) 5034 MMJITl? lJ ~A:O
,
Accepted With Corrections <
Ac :epted
De nied (2t 7;() ()
Reviewed By: cV(j..)., ^-----
7-
Date: C-t{. ~ r
Cc mments:
u~ Sru.ob. d~t.~~fot~
~(rA. ~C.A- ~
. v. .
~cJ s.9-.
"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."
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1!::()3Ci ~ ;.\.I"V 1 C2.rQ.
NATUlRE OF WORK _(~) ~~ .J.6..J..-....
USE OF BUILDING
PERf>.IIT NO. I)I-:(J~-; DATE ISSUED (o_L(_Zo:;,( .
CON1RACTOR I( :\I..RrcK..PJJ (~D. PHONE--'d.?- ?o~ -?</~-S-
NOTt: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
INSPECTOR
DATE
I FOOTING I 1lA-. I ja//?-/O /
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRA !/lING
INSllLATION
ELE~TRICAL
/7
a~
~.
,
//;t/a I
/I I; ";/0/
f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~
-
?-/~~3
I DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
i NOTICE
Irhis card must be posted near an electrical service cabinet prior to rough-in inspections
md maintained until all inspections have been approved. On buildings and additions
Nhere 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 (952) 447-9850