HomeMy WebLinkAboutBldg Permit 01-0982
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or vrint and sim at bottom)
ADDRESS
:.~' 3 7 b h t1.J S afV7
I. Wh.ite File
2. Pink City
3. Yellow Applicant
s 1,
LEGAL DESCRIPTION (office use ouly) ,
LOT I'd-BLOCK 'J. ADDITION ~~ ~
OWNER
(Name)
ScofJ- fJc"""ho
3 S7~ -/3c.. /5~V""'
':JA
(Address)
;PI I '00"
(Phone)
LI..-Ir-<-
BUILDER 7\ ~ J
(Name) t-/~v;'d S~~""""'-<Ic..L-- Cov?c.,7;..
(Contact Name) tSY'0 C....... ~t, i/V~i (, '"
(Address) 1.-. I 7 I G Ir~ VI If; 'c.- ~
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
Date Rec'd
g-/.
oQro2-1
PIPJS-j/J. -0/3-C
q~z~ 'f((7- 7/G.S-
f11VJ, 55 67L
;(/1c, ..j.Phone) 9!>2 - t.; (,9. 32 ZL
/lcPhone) t:'ctl- U2.~2 2-l-t.;<i.r; 6
?...I-r~v,'/f~ , j11n. 5 S 0 c;Cf
IJI/-e.
ODed
OPorch
~tion
PROJECT COST IV ALUE (excluding land) $
o Fireplace
/
ORe-Roofing
ORe-Siding
DAlteration
Dvtility Connection
J 6,(.?PO. 0 10
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 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 buil~~",~~~ revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:nteruPOnth?vp,a)tope~~ 'l 02 (,2- Co Z"Z- C-.(- 1'-(- 0 I
--- Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
l Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
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I 72.. <-t I
8. ("J()
rli7r~mes YomBuilding;:~:;:,~ved
Building l>fficial Date
I Park Support Fee
SAC
Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
ITOTALDUEI~
I Paid
I Date
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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
::~ the , ~l,""e< consDtul",' tempor"" cen'ficq /7" I;{' on' ,"ows:s:: c~~cy., Certtfic"e ofOccuponcy must be
'-! /J Plannmg Dlfector Date - Special Conditions, ifany
24 hour notice for all inspections (952) 447~9850, fax (952) 447-4245
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White . Buiicling
Canary . Engineering
Pink - Planning
Thr('f'nlrrof lht' 1....Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. ."'\" " 'f"'I~~'-; ; .
NAMEOFAPPLlCANT -:JJ~( CrJ,/~~
APPLICATION RECEIVED >? - jLj- () /
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application f;;o~s;:on actJr~ ::pr:{~
,- ,~, ,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
A/45
Date:
Cj-7-01
Comments: _ See Rever!';e ~ide for Addition~llnfnrm~tinnr
~ee Attacnments: 1) Grading Plan, 2) I::roslon <..;ontrol Measures
3) Ero!';ion Control PI;:!n
)
"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."
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White . Building
Canary - Engineering
Pink ~ Planning
fhr (...nu.r or Ih..I...... ('oun.1')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --:J) ~ /;:jv~ Ibnt~
APPLICATION RECEIVED s;?- /L/- () /
The Building, Engineering, and Planning Departments have reviewed the building permit
application f;o;;:on act~ :p)s7:~
Accepted
Accepted With Corrections .x
Denied _
Reviewed By: ~ PiA-
I
Date: e -I ?- 2oJe,.(
Comments:
UtOtLJ~. 9-."""k ~ ~,~ +Lo. ~
"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
Th.. (".."In of th.. L.kr ('o..nll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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...v d/ I l,JUuC.-0II_/
((- /Lj- /) /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" _' ::';'7/, ) /' '
_ ,/ (0 , " ; \ '" i 0 +
Accepted
v-
Accepted With Corrections
Denied /l ! 1\
Reviewed By: q~~ff?/~ Date:
OIl -; Jert
,
Comments:
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t-4&t ySp- tfc..~l A~ (bwt~~~~~
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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,"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ f{G, ~l~~ 3+,
~~~u~i~~~~~K ~6~'~r Jt~J<.~. .
PERMIT NO. OJ.Ot1fJ2-- DATE ISSUED ~ '7- ~(
CONTRACTOR D.....~ ~"'\AlA1""~ L. c.....--L PHONE (j/?- 221 4'l[~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING INSPE~. I ~/.;2j";';
I FOUNDATION (Prior to Backfill) I I0:r IItJ/4/01
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
l~~-Atce~'.~ ~.1 I/!;/I/
I I v FINALS'
BUILDING f{Z
ELECTRICAL
--
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Ht.'oz..
2--: Cf/J
ADDRESS
337 '" 131'1 l..SI"J t1 .5T.
OWNER
CONTR,
PHONE NO,
PERMIT NO,
/- 982-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: r;,flIerit5 Go /WON. A!:F; -/,v>I'f::~77(),J
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO~CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspe or: Owner/Contr:
50 F()~ THE NF,lCT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
l/'1SNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-~OJ
ADDRESS
337C.Ec,/5f1m ~I- <
OWNER
CONTR.
PHONE NO,
PERMIT NO,
61-'78:2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
cs:.e~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b/'ud-t - t9 r
-
)lWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspecto~;:;.....1:_..... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lHSNOTl