HomeMy WebLinkAboutBldg Permit 01-0971
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
e--P
(Please type or vrint and sign at bottom)
ADDRESS
1. White File I PERMIT NO
2. Pink City .01 ,0 O-t. J
3. Yellow Applicant -LV
_~~29 SY{!;C}fr7()/Zt5 //~
ZONING (office use)
~/ 5LJ
LEGAL DESCRIPTION (office use only)
ADDITION AZt-S H33
LOT
BLOCK
PID 2S - /O~- tJ07- 0
OWNER
(Name) T ,-,'c...,",- ~~
(Phone) q ~7- - ::l:2 i,- 9 to ff' (,
(Address) "3 '3 ;2. ~ S VtA n-u:y< 71Q1'L 5 u>
,
BUILDER I I
(Name) k/t>~/-e.d~, ~c
(Contact Name) / ~e'1h 1"5 lc.r~15~
(Address) '1117 ~~(.()~/ /3~h 5f
(Phone)
(Phone)
t,,; 3(.,'7 ~S?'3 '3
~~-;; ~~;.. 03B/
?If-(/ /IoG€
55"373
TYPE OF WORK
o New Construction
OLower Level Finish
)1f'eck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
o Misc,
PROJECT COST IV ALUE (excluding land) $
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter uponthe prope~ to pe'1:;:' needed ~ns.
~ - /~ ';2..0'( fe:> ,~ tf-;l7-DI
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas FireIJlace Pe~it Fee $
(7, . /It,wBuil7r;?;;
iI ng4!flf#1 D.t< f-
U
#
$
$
$
$
$
$
$
$ 50, CJo
.<~-QO
, 8~. z.c;-
571. If
f . L:;"c)
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other W/l1 v/3e OF $v,eve v'
I TOTAL DUEtAuel? ,?-(" 0'/ $ /gg. e ~
ReceM' Ar15"..5tJ
BYr-
#
I Paid
I Date
/e;g pI:?
6....10 '0 I
) , ,
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS .s&;t q S'~ ~ (j,:-.
TYPE OF WORK ~('" k~ 18~1 ~ --;
USE OF BUILDING 5:'t::{:) "'"
PERMIT NO. 6/-09'7 / DATE ISSUED > --c- - 2o-a(
BUILDERK;6V~ ~ PHONE # 752-892-gg(
NOTE: THIS ISvNOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO~
I FOOTING I ~I 111 010) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
, FINAL
/1
fh,
, / 1/ 1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,
16/g/fJ I
I PROPERTY OWNER:
ADDRESS:
-r;, 'c..,'-. (;oc~
'332-0/ ..st/~/VlO~ 7X& 5Ul
TELEPHONE NUMBERS:
9s:;l.- ;1?(, -1bfff..,
I SIGNATURE:
I
LEGAL DESCRIPTION:
~.
/~
,e~ &-. ~. .:1133
I PID NUMBER:
2-5-/01'0- 007-0
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale, The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule,
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For OfJiceUse Only
ACTION
)?( APPROVED 0
cl,MMENTS: ~uJ~.Alj
-'PY\d ri-~,^ ~
app=~ +0
re,Jfesefl i-r
I
I
BY:
]: \hflndp,uts\\Vaixer .do(f.,
16200 Eagle ueeK Ave. ::>.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQI !AL OPPORTI !NITY EMPLOYER
SCHEDULED J CJ.S (Q I
,
~'l~,
(j
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33 2l}
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.0 PLUMBING. ~.F.'I.J.. '.'
o MECH FINA,'
:./1
COMMENTS: 1)tt.f'
-
~f~
r-'U
~
,
,/~j:
DATE TIME
1'()~"Je
elf-9ft
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
!OWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectoc ---:~ ( Own.,lCootr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED e--z9,O/ 4. T.
ADDRESS 33ZC; 5YM1'-10~ 'J7U-. SW
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: W~/t/r?/& OF Su/ZV6V
I
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ <.-\ ~ Owner/Contr:
CALL 447-9850 FOR TH: NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI