HomeMy WebLinkAboutBldg Permit 01-0845
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
~ .. Z (g '0 I
PERMIT NO. C j- C't4-tJ
(Please type or print and sign at bottom)
ADDRESS
3J;2.2- 1$v IhhNV';- ~.n-~k
LEGAL DESCRU'TlON (office use only)
LOT
BLOCK
ADDITION
OWNER /1
(Name) --.i:?AE4 M"'"
f I
W'
(Phone)
elM,j ~,4~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~Deck
o Fireplace
OAlteration
OPorch
dAddition
o New Construction
ORe-Roofing
OLower Level Finish
o Mise,
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
R../ SO
PID zs--/tfl- 009- 7
7&'7- 73:?"? FX'r ';'~/7
:1--/ I/V'7-Jl'/' y'..?
ORe-Siding
OUtiIity 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 ~rm needed inspections, / /
X -" A" .~ (L a ..~____ t,/d)f./C/
'-L / /J I Signature Contractor's License No, Date
v,
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE {I <<Ie ~tl r' 7- t' }
Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
{)s A P1f~9 BeCO*-. Your Building Permit When Approved
'/ ~~-I->< g-1~~~
Buil'aing Offulal Date
This is to certify thatt: 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
...~~ g/7r!.O\ ~~~bt&wlf\Tavu;.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Permit Valuation
q.~.~
q'l.~ ~
~~ . '21
Z,~O
I Paid
I Date
1~d-,4b
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#
#
#
#
$
$
$
$
$
$
$
$
$ //,,2. 4-(;
Receipt No. U D 3"3 (
By ~
Th. ('.nl.. of Ih. "ok. Country
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C0 ~ lr\~ 't' c:.-....
APPLICATION RECEIVED G,. Cc.. 0 (
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S2LL. 1;,t~u'r
Accepted
Accepted With Corrections :>'--.
Denied /74
Reviewed B(/(I) Date: f3 - / - ~
com!Z:; -it. ~'- I-k..J2 ~
. .
"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."
The ("entef of Ihr I.akr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~y QJa.t~tA-'-!
I" - 2~ -81
'-'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
g L'Z... 2- (\\>1'\.~ \..tv, ~c...t.6:
- ...
~
Accepted With Corrections
Accepted
Denied
A -I J
~~~
Date:
,8/~ 1& {
Reviewed By:
0~ ('hi.< {~lj0V1 M a...
~cnf'1Vt IIA ~1A-~$,,~~
t9a-~ )/l~ !I071-2-3~-Co~
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~ ~ ~~'^-L~ ~
l < 7;::: \ ,\ it9th\_ ~ q8 t{ ( CJ bJLJJIv{ ,
"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 3'~~::t 15u-{WYUJ f- Q\\}
TYPE OF WORK D2ct~
USE OF BUILDING S'FP
PERMIT NO. 0/-0646"" DATE ISSUED e -7- ?,pol
BUILDER ~~ ~l<;l~ PHONE # 7tJ7 -7337 8( 21/7
NOTE: THIS IS'NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. INSPECTOR D~E
~ FOOTING I ~\\~ I ~A~
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN SIGNED
I~ I I
FINAL
I ~...~,,~ IlL -~ t>J
Call between 8:00 and 9:00 A.M. for all insPections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
11..30 .o( 3-.OV
ADDRESS
32-22.. ISU I I b I2...-1\J UT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUriBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
, INALD~
o SITE INSPECTION
COMMENTS:
O~ --to LA.- ~ ~
~r;.
I~\~
l - ~ 45
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK"C~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ,\)():AJd Owner/Contr:
CALL 447~9850 FOR nt- NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl