HomeMy WebLinkAboutBldg Permit 01-0844
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
{'~
LEGAL DESCRIPTION (office use only)
7-3/-0/
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. CI-C f'44--1
ZONING (office use)
PUD
LOT 5 BLOCK / ADDITION Cfi;eO/;VffL- ~~ 2A/a /lOON. PID
-302,-005-0
OWNER )/
(Name) /c...... €-f\ PrCA. €7eJr
(Address) CSY 6 (;.I'O.S;.Jo.......
BUILDER V'
(Name) /'...eh . DrQ_ (ll..t_r
(Contact Name) I_J.s..J. \ (. PI-fl. tlJ of,.-
(Address)
TYPE OF WORK
DDeck
o Fireplace
o New Construction
OLower Level Finish
~c.
(Phone)
~~t7- 6" g''t:1
~.J
Ce. t(
6/).- q Iq-;J-t
(Phone) ~~()- (; ~ ~
(Phone) 61). - 9'5s- / / {""
o Porch
ORe-Roofing
OAlteration
ORe-Siding
OAddition
OUtility Connection
00
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
enter upon the property to perform needed inspections.
X /ci-1 ,O~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Z
$
$
$ / 2
$
$
$
$
$
our Building Permit When Approved
t?2-~1
Date
Contractor's License No.
7-).0-01
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
~-7-o1 $ ,/&.00
I ~/ W.3$.;J.-
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE _t1-(i!t."rl!~
I Paid
Date
1~d~
~. -CJ I
8/7/8t
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 Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
~ ~aLW (~~~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thr ("f'nlrr of thf' tlkt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f)ME,c;,~ ~
7-:71-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5540 cetJSS/J;VOR/J 5/.
-:Y--
Accepted
Accepted With Corrections
Denied ~/J f2 t... -
Reviewed sLKI! vy
~m= tk ~~[ k~~
Date: 8--2- ~/
'"Cb l1rl:.Ji tl ~ pelot w d-k a;c..-t.v-- UlAh I
+W SJ1.:J ~ i s. ~f2P_h:2U"~..ef- 1o~..J.-.L., eLtJ
~ <{{\t)1 t liiu ·
"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 Crn.eof of Ihe take ('Ou"lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J) k! / / E cq [;K I K:.E7V
7-://-() I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.c- ~/) /_. (1,,..- /) r- C-.LJ /JU" ';.,j LJ 5/-'
-.-J -) ~fL. ~ ..' f-A.i "- ....) I I C-f-'
Accepted
l/
Accepted With Corrections
Denied
~~
Date:
~/7 /81
Reviewed By:
"
{Jrl
"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
SITE ADDRESS 5 S L./ 1.0 C t--O'5sa..,^~
TYPE OF WORK A loo\J-E- G )-Oc.J~ r:j;!,o /
USE OF BUILDING ~S .
PERMIT NO. C/-(l844- DATE ISSUED B - .:l-20o(
BUILDER Dr-a~~r- PHONE#ft,/2.-111"7J~
NOTE: THIS IS NOl" A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{O(3(OI
n:t}-(j
ADDRESS
S5''f(o
c~ ~f-
OWNER
CONTR.
PERMIT NO.
!J { ~ P-4'-!
PHONE NO.
o FOOTING
o FOUNDATIO(@N
o FRAMING
o INSULATION
If FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
;J' ' I
~'
~ .
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-98:F01rH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI