HomeMy WebLinkAboutBldg Permit 01-0836
(Please type or print and sign at bottom)
ADDRESS
I '73t"J ,
SUV\ s 2..\-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\~,l
LEGAL DESCRIPTION (office use only)
LOTS3 BLOCK l ADDITION
OWNER (
(Name)~~,^
(Address) S4~e..
Date Rec'd
1. White File
2. Pink City
3. Yellow Applicant
WocJv ~ ~
PID ;;lS-/sS":.on-o
KV"~
BUILDER
(Name)~Ldc.J..cl ~ tJ.v.c
(Contact Name)
(Address) 7S77 W~~
TYPE OF WORK
o Misc.
'SO~ S~.
o New Construction
OLower Level Finish
ZONING (office use)
? Rl ~O
(Phone) ~S;t - 4lJo-7QQe
(Phone) '1$:;1.. -'1"'7 -:J.'1ee
(Phone)
o Deck
~orch
DAddition
OAlteration
ORe-Roofing
o Fireplace
PROJECTCOST/VALUE (excluding land) $
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 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
enter upon the property to perform needed inspections.
X ~,I\ fL/lA p1;1..lA~ ~
S~r~ Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
4,~.tX>
l
1I1.2-r-
~J.~I
2.50
es Your Building Permit When Approved
')-/7-2IJOr
Date
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE till( "f~) fi,-:; 0 I
> .
I Paid .fI.. /Y ~ ' {/ b
I Date q- ~b-O/
$
$
$
$
$
$
$
$
$ /PM.{}(,
Receipt No.4'.t'~3
Bac
Yu
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
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Plan~ingDirec~or Date s~nditions,tr-~~'i ~ ·
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Thf Cfnlfr or Ihf L.kr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-IJItJt()u.ll1~ ~o.-/
~ -
i-/3-()/
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/737/ ~~
Accepted
Accepted With Corrections X
Denied _
Reviewed BY:~
- /
Date: 7 -II? - '200,
Comments:
l1f~~ 6h~~~ ~,C}- ~~ t-b,js..c<.
"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."
Thr ('rnlrr of Ihr "okr Coonlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ i
7- /~-ol
, .
i. I
! / t
j
-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;- J
/ ,,~,)- /t-/
I'} '::; 7 /
,/
Accepted
Accepted With Corrections
~
Denied ~ L
ReVieWedBY:~":-~ Date: ~/3/LJI
:;~e~ ~ ~ D vP--1A1mJ/[) ~
~/I')A'-)S. ~~ J4-Y'..e& ~'1J& _
\b ()Vj';e-&iiv~_ ~_ ~
r:O~mv'\S ~ L(g { X'- ! L/ ,AS rv~~
Gv~ ~v~ {.)tAA/'k~ vr-~ cfh
10 (y-_/,C;I ~~ -~ CO ~~~ {A1:1'\~
"I1_w4- T~ t9YMr "I; 0 ~ ~cep.J
Q.Kt{;{"~or 11~//?>u5. ~ ('~'i~""
"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 .fL3'l' C::;LMS.e.+- \'h1.~ \
NATUREOFWORK JJe..\JJ ~t'~ ~~ t</X./~'
USE OF BUILDING ~{:'D
PERMIT NO. o(~of331o DATE ISSUED 7-/8-~ (
CONTRACTOR ~\.oJ~ ~~~ PHONE qS"2-'cfCf1-2~<9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN.JY'ECTOR DATE
I FOOTING ffirr I ////1L;b1 I
J
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/I
~
>r/d.-/6r
I
FRAMING
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
g)
BUILDING ~? - ---:::::" ~ ~
Tl)r~ t:~b.\o\I'~~~J) --I'
"Ce.tore... ~,~ .:tv."p , ~ ~
\ ~ ~rau..uJ.. ~J ,/ Y -F'
DO NO~CU~ ABOVE HAS
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 sha!~ be p~ced near main entrance.
f'1 d-J c 2./
I I
vi.. IJ ~
J/~ ~
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
p-~-~3,c)
113 71 ,~t;-.,~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO. PERMIT NO.
D FOOTINGi@DPLUMBINGRI
D FOUNDA TION ~ D MECH RI
D FRAMING D WATER HOOKUP
D SULAT, D SEWER HOOKUP
UNAL ~ D PLUMBING FINAL
D SITE INSPECTION 0 MECH FINAL
COMMENTS:
(If tr.:U -
,..
~ A
~
1,.- c;~( r"\
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
~ WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WO~CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!