HomeMy WebLinkAboutBldg Permit 01-0541
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!ype or Print and sim at bottom)
ADDRESS
Date Rec'd
s-z+-~Ol
//
I PERMIT NO. OI...rf54! I
L White File
2. Pink City
J. Yellow Applicant
3/394- ks7YGL- ..s-r.
",,'
...
,/' ZONING (ollkeuse)
,L- F2-1
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK 5 ADDITION Wf3JT8C1PL/ PdtJOS
,
OWNER~
(Name) t' A,
'S \1\1,(1./(
3'8<J<{ ICtJ::rr2c-1 ST.
(Address)
BUILDER L.A i-
(Name) ,- I P<1i?-1'-.
~A-..Jes
(Contact Name)
(Address) '1 Ol) ~.f1'1 Lr-J.
TYPE OF WORK
I!5.New Construction
DMisc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
~ddition
PID Z-S-z"ls-()3(,-O
(phone)
(P~) CJ<;z.. - ~9 2 - 5:" Ie ?
(Phone) bit ~'1D - $"1) 6 2-
ODeck
OPorch
ORe-Roofing
OAiteration
ORe-Siding
OUtility Connection
I hereby certify 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 agent for the above.mentioned t"~l".....J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am sare that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter. upon)Ptpropeny 0 rm needed inspections.
X"- 1..-<-.. '( J ~ rs(~LcI\1?'Z7'8 $"-2--(-D)
I Signature Contractor's License No.
I
1 Permit ValuatiOn
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I G~ePlaCe Permit Fee $
( TfjjrrUildingp;i~Wh~:7
~/B~Official ' Jate
Zb,:r"\'OO
(".2~
4<; .Of
,. DO
$
$
$
$
$
$
$
$
$ //S 2~
~ .
1~~~fW
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
I Other
I TOTAL DUE ~ (,./.4/
#
#
#
#
I Paid //5 z/,
I Date '(;,. ~ 0/
Date
This is to certify tha.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
~~u:~anne~c~ns~i~t~atemPO'~cmill;/~n;g;;li~ceandallO~CO~ B;;;:~~&:~:CW:.
- t'~~ Date . - Special Conditions, ifany -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'~
/~~
White . Building
Canary - Engineering
Pink - Planning
Tht' ('('Dlf't of lht' L.kt' ("ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /)1 J I /,-
, --'~
..... w.
{I.J ~..
< ~ ..-)//-0/
.-J .'7( \...-- '--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/ e-,f-j.. I 1-
Accepted
I'~
Accepted With Corrections
Denied
R$viewed By: ~, 14 ~-;:, J
C01:~ ~
7U\lT1:P'I _
Date:
(.t)/3{ /~ {
c:; ~r
K g IS r::-r
FY~ ~vLj
,
"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 {)r cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ernlrr of lhr L.kr ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !iJa.rI<': Va-We:)
S -;;1Lj-O I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G gCfLf Keh,-rre-l S-J-
Accepted ~
Denied /'Iii
.../7
Reviewed BytA: v-
Comments:
Accepted With Corrections
r
y
?/ /Ir
Date:
z-
-----' /
"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."
PRIOR LAKE
INSPECTION RECORD
st.
QEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3aN Kp_"tre I
NATURE OF WORK ~~
USE OF BUILDING SF...D
PERMIT NO. 0(- O~I DATE ISSUED S-3(-2s>>(
CONTRACTOR J1",rfc- ~C1C" PHONE qo- I.( 1'2 -'5/CC;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR OATE
I FOQTING rl=r I R'IOt)./o I
I FOUNDATION (Prior to Backfill) I Iit-, I ;/<7 'fIn I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELElCTRICAL
tf;::J; ,
17)-.
11/r'/DI
1/3/ltJ/
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
IW
/0-7- -OJ.....
BUILDING
~AL
HE4TING
DO NOT
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
') f{"qC( Le.5 fr-c /
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING fiS)
o INSULA TIO 1'\
Jlf' FINAL 1
o SITE INSPEc
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
/ ~"J
( ...I \,
\~~I"
DATE TIME
/0-2
;(r,::ru
s't
o { -().5<-f I
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~';0>CALL FOR RE~NSPECTION BEFORE COVERING
Inspector: r'd' / O~~'6J-. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/