HomeMy WebLinkAboutBldg Permit 01-0545
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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(Please '!vpe or mint and sign at bottom)
ADDRESS
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1- White File I PERMIT NO 54b I
2 Pi"k Ci<y . 01-0
3. Yellow Applicant
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ZONING (offi" m,)
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LEGAL DESCRIPTION (office use only)
LOT J 4 BLOCK a
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fi?,'d~fV
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PID ~ C;--..:::J c;;f'-nl/)-(J
ADDITION 'R a ,c, d) dJ..p ;- r II
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~':e~~ ~o--"^'\
So-W\.~
(Phone)
(h'0 -7
CfS"J-- ~41- \\..t~1
<.0\ J- - 1<;-0 - ~:!?
(Address)
BUILDER
(Name)
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(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
~orch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $ I 0000
)
Signature Contractor's License No. Date
tC!(OOO
I Permit Fee $ J al. '2.0:;- I Park Support Fee # $
I Plan Check Fee $ II, :~( I SAC # $
I State Surcharge $ SO(') I Water Meter Size 5/8"; I"' $
,
I Penalty $ I Pressure Reducer $
I Plumbing Permit Fee $ I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace Permit Fee $ I Other $
ThIS AP6ti1omes Your Budding Permit When Approved I TOTAL DUE $ 30+-. D e:,
QJ. - 5-~\."Z.Mt Paid Receipt No.
Budding~fficlal Date Date By
This is to certify 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
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
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Tht(-tnlt'rof lht' t.bCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I'; / /c;-TI 1'1/ )F" r~'f //01."'0, ,'.I r
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Aocepted
Accepted With Corrections ~
DElnied ~
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Reviewed By: ~_, , ~~
Date:
~A/t9 I
Comments: .
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"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."
~\
White - Building
Canary - Engineering
Pink - Planning
The' (-('nIt" of lhe' L.kt' COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BY/J~ //)017/
, 5-:;< Lf-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lj1l/5" . / /luh~r-wlad=", (!/y--
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Accepted --/'
Accepted With Corrections
Denied Q /1/1) ~
Reviewed ~ ~V.2.J4-
Comments: (
~a.:P ~ ~Cc. ~~
~ I
Date:
-5 -:Ii r--?.ecJ (
"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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Iq~lf~ l1~eJ--O - -Q- ~
NATURE OF WORK D..~I.... do ~....'" ~
USE OF BUILDING S~D
PERMIT NO. f11- n<)4) DATE ISSUED ~~ l-~
CONTRACTOR QU PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR 4. ,OATE
I FOOTING I .....~, 17 Jib//) I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
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I=":P. ol-IIS'i ~ /I bioI
G1~ h 1~1t>1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUilDING
ELECTRICAL
....,
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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 9lno A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/4915
DATE TIME
SCHEDULED 2,1t ~L- .04. 1";
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I//,M.{ Je/---1
CONTR. h P, ~(-! ('51
PERMIT NO. {)1-05~5
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'jf FINAL
(0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
'f! FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
"
C)~
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f~:tt-s ()(-1I~4
~ :E:l-S - Cl-S'-{S
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Conlr:
CALL 447-98~~ ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.;/LTH & SAFETYI
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