HomeMy WebLinkAboutBldg Permit 01-0849
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. ~i~~e ~:~ I PERMIT NO. 0 J
3. Yellow Applicant h
(Please type or vrint and si2D at bottom)
ADDRESS
:J I 7"5 . ~ /~-4- 4:J Y C'o v /.::" I ?.::> I Iv r-
LEGAL DESCRJ..t'nON (office use only)
LOT /bBLOCK J ADDITION Nod,/') IY 0'" .1
"?-NO HPV
tfl j:f..J,/ J /:?..f/ /J;- /6 ( PIDdL)'" ~J 1- () I" - 0
OWNER
(Name) I;) 0 C/ G- l- v I " J<
(Address) ..:l /73 <>HA-PY C;"'./.IZ-' pv /NY
BUILDER
(Name) /Ii/t: J./a CK ~ r.J .::Juri CO. J?v c::.
(Contact Name) I? AY' AI tEN 1\..1 /5 /~ Il V
(Address) //~~7- /7K1ccJ~ ,41/,4:' ~.
TYPE OF WORK
o Misc.
(Phone) 7';-2.- 3 tft5- - Z-.5 D~
(Phone) 6...r/- ,'~v/'- :3 /~ L-
(Phone) 6" Z -&-S-O -.;7- '1-/ V
/ N t/;I:3' ~ <1" 12t;J (/ d #/f/tF-k".7 f ~ /.V' ~o 7"'J
o New Construction
OLower Level Finish
/
~eck
o Fireplace
o Porch
ORe-Roofing
OAddition
OAlteration
L'Oe:::>Cj
ORe-Siding
OUtility Connection
~
1 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 th~operty. to perform needed insp. ections.
X .Ac{-~ #"~".--.- -~ -...<'-~-5-") 6:1 /31 /0 'Z-
, r Sigminire ./ Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
PROJECTCOST/VALUE (exc1udingland) $
$
$
$
$
$
$
$
$
I
<f.I"liP\rl L ~
, Cf'l.2e:r
G, '3 . L(
c. . tJO
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
Other
#
#
$
$
$
$
$
$
$
$
$ I ~d., Lifo
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
--- ,
/' /J I
(Tb' B'rY~B"7t;W;::ro
uil ~ial Date ·
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
#
#
TOTAL DUE Mue-o ~-.,-()/
I Paid
I Date ~ - I '1... 2<<:>/
R.eC~NO. r6.3(..~
By{.JV~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Tht' Ctn't"r or Ihe Lake ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D~/L Cf fJC)()y 6.
R"'7-o/
The Building, Engineering, and Planning Departments have reviewed the building permit
application 1037730n Sh:liS D:~atPt-
u
Accepted X--
Denied G3
Reviewed B . _r' Date: 8 r8 .
- '/
r;;;:;;: ~ ~f= ~ ~/!
Accepted With Corrections
'2,GI (
"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 31ry3 SkJ..~-P4-
TYPE OF WORK ]JPd -
USE OF BUILDING S FO
PERMIT Nb. (j/- 0 i? 49 DATE ISSUED 'f-?-G)
BUILDER 'Dec.lc-~ ~ I PHONE # (,/7 "~.lS0 -2~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR J O,.TE
FOOTING I r~ ~~ I ~ i.o/qf.
PLACE NO CONCRETE UNTIL AB~VE HAS BEEN'SIPNED
I FRAMING f;..l;,.c ~Mq IS "><s&.1l.A /b ~ I I \ l1! O.
I FINAL I 15 \\'tJ..v..J I l' ~ av
Call between 8:00 and 9:00 A.M. for all insPections' t
FOR ALL INSPECTIONS (952) 447-9850
I .
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/2-10 z- /tJ,'tJ-o
ADDRESS
3(73
~~
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o ( - ?~?
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
'lS' FINAL
b 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 GAS LINE AIR TST
o
COMMENTS:
~
O~
ell? se .Q.e.-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOU. CALL FOR REINSPECTION BEFORE COVERING
Inspecto" -:g ~ Own. clean'"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI