HomeMy WebLinkAboutBldg Permit 01-0791
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at Lu.."~)
ADDRESS
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
OI-O'lCf J I
,
/4if54 Sll/fO,/ d~ ~/f.-,
ZONING (offlceuse)
IVs-O
LOT / BLOCK
LEGAL DESCRL.t'uON (office use only)
ADDITION .5#;qp V LJa:J aI-I #'z-
/
OWNER
(Name)
(Address)
PID 2.5~-OOI-O
(Phone)
=~R IYI. IJ - P~J~ P~Yf- B.il
(Contact Na~e) /JIqY'"/L ~rso/~
(Address) SI/)/) - E~ Ave.- col,~
TYPE OF WORK
o New Construction
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
(phone) ?52-f/ZS- ?~
(Phone) qt:;Z - 9U ... t?~<
p;,J - 5$ Yl c:,
"' "
~eck
o Fireplace
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
OPorch
OAddition
. cation which is to the best of my knowledge true and correct. I also certifY that I am the owner or
construction will conform to all existing state and local laws and will proceed in accordance with
,,", ... pmoi. '" i"" """'. -, I """'" ...... that ... ;;f;2- may
Contractor's License No. / Ibate
$
$
$
$
$
$
$
$
5000 ,.
"I. 2.6
"12..31
2.9=/
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 # $
Builder's Deposit $
Other ~dl ~O\ $
TOTAL DUE I l' - $ \ Be.:,. ~
I Paid /611. 0 "
I Date f; . ,. tJ I
4t:Isob
-,
Rece~o.
By /~
This is to certify that the request in the above application and a~w...yanying documents is in accordance with the City Zoning Ordinance and may..." ___Ii as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnfrr of thr L.kr ('oun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /11 If Pe:!::J:VUrJYU I ~ ,'l- ~
APPLICATION RECEIVED 7 - cr?rDJ
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It/LIS:! '_~ .fp~~'
Accepted Accepted With Corrections c-/
Reviewed By:
Comments:
;-0 B-
(ZeAD
pE'-rL
Date: '7/z 4: !o I
;/~o~
Denied
'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."
r'
I
Tht etnl.. or lht Lokt Counlry
White - Building
Canary - Engineering
Pink - Planning
)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /11 II Pe fJ21A/);)YU
APPLICATION RECEIVED 7 - a ~)- ()J
.
lOs.JA (,--j\j i I~AA. tc-C.
I i
.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t/L/2!/ ~utJ 6tuL~'
Accepted V- Accepted With Corrections
Denied
Reviewed By:~~l..~~~.....rl
Date:
6>/g~E)(
()p~~, I~~~ ~
liThe 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."
I
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,~4r;;4- <5,'fvo.C:>f4 B~ (& .. l I~
TYPE OF WORK ~ .. (
USE OF BUILDING P?s. A/rz- J.
PERMIT NO. 01- 01tJ! DATE ISSUED 7(2-4-10 I
BUILDER M.A. Per6'2-~N ~,c...v q>l...9Z.)~~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
n~~
FOOTING I e~~ ~ ~
PLACE NO CONCRETE UNTIL ABOV~ ~AS BEEN SIGNED
I ~. I/..I.! '"
I t#;r I '1/~/f) I
I . I .
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I ~ L{ t::"t-/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING {BJ
o INSULATION
_ FINAL
o SITE INSPECTI
SCHEDULED
~
J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~L
.;;pj;a~~i~~5n~}~'1$,,,
~-~
DATE TIME
1/~".~
&--- t~
'1: 50
~ , -19 I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
1_ ~ OwnerlCo""
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSI'IOTl