HomeMy WebLinkAboutBldg Permit 01-1044
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
Y' 3. Yellow Applicant
Date Rec' d
9-/1-0/
I PERMIT NO. () / -/0#
(Please type or print and silm at bottom)
ADDRESS ..)j.1Q cMPy.. CCJVe. TWl fE,
f~~ ~ hvJ ST:J7J..-IJas-
, -
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK / ADDITION 3rt{ ~ *' 1.4Fu/4 h1(AI"Y"
OWNER
(Name)
~rN
ZONING (office use)
RISD
PID 25-09.2 - ooz. - 0
q...G./ '-I-V-7-J~/
L-.e.& '" ~ ~tUVf
I
S~
BUILDERJtCl.JA.u C.,.,J.J..... /,,,, ...J..._L.J' "T'".... 0""'" J OO,F..()f/{rl
(Name) (\)....,....-...., 1. rrAfM)- 4:1AJJ1'r~ I~ (Phone) TJ ol./ 0'1' ..,.. Y.
(ContactNa~e) 'rl-w!i-e. La. rs/{)V'/ ' (Phone) ~ q.rYJfs:. tl/{rt'Jt-S/
(Address) S-7~-}Cf3~ 9i-fW-~pk IId!:eY,I'rlIl.JJ I~(j -M/J ~ it-~JJr/Jr;
, t. . ......-
(Address)
TYPE OF WORK
o New Construction
o Deck
(Phone)
o Porch
ORe-Roofing
if Misc. :p,.lJ~ 1-vttfJ
./
OLower Level Finish 0 Fireplace OAddition OAlteration
o II.t.1.. -Gfttt- 'roc!- PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereb 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
rized a~ e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
--- submi~ans~ aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
<:~~tOperlbrmO""'din"'cti= . ~ Js-18
Signature Contractor's Licenl!to.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fi ce Permit Fee
/
isA
$
$
$
$
$
$
$
$
9.~.c:n I
J~r'J.~~ I
'-O~ ofl I
4,~
es Your Building Permit When Approved
q,. 21-01
Date I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE tA~O
# -
Paid 2PJO. 'tf A
Date 1(' 2~'f- (>/
#
#
#
#
1-2/--01
Date
$
$
$
$
$
$
$
$
$ zeD. ~
R=~4(Jr40tj
By
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 si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue. ~~_~ ql2l/~ <YcL. 04~ ~
Y Planning Director Date Special Conditions, if any S
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
The Center of the I..ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Leror.-t t J QtJ c:., JJ 0 y"...J
(
9- /11 -() J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cJ~t1n;:v~a;;;: ~
Accepted
Accepted With Corrections x..
Denied
Date: 9-2/-0 (
Reviewed By:
Comments:
~ s~~ ~~ ~ ~5.-'(
"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 ('t'nlrr of tht Like ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l,;..., j I t '-....J (jUC
f
'1- If] -() J
lie I /r\.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Which is proposed at:
. ") - ,/
(~/ ..,.. '~/- .j,{.:/-1//:L(
~.
"L-~
Accepted
v
Accepted With Corrections
Denied
/? .
(6k-ll.~
Ii ~
Vc96.Q- ~ f~~
_ . -3 ~
Date:
11 :;)..() / e I
Reviewed By:
Comments:
,f1tryI'7!~ ~
r~b
liThe 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 ar'\.Y '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 -5P< '--9 ~r- CrjV..J) ... V r-
TYPE OF WORK rfbcf ~ I ,.u~ ~
USE OF BUILDING SFP
PERMIT NO. ()/- /044- DATE ISSUED 9-'2/ - CJ (
BUILDER Ou~~~ ~ U"Qc'u.(.. PHONE # %'1,.81'5" -oq J "f
NOTE: THIS IS NOT ~ PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
t~ I I
PLACE NO CONCRETE UNTIL AJOVE HAS BEEN SIGNED
t FRAMING I p?-. I /d/S-!61
t FINAL
'" ,
I I:o~ 1/t-/lr/C)!
\.. I ' I 'I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
0"' TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Ilitf4( 3; 30
52CJC; N17JOt/ UJv6 let:.-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()1-1044-
o FOOTING
o FOUNDATION'@
o FRAMING
INSULATION
INAL
~ITE INSPECT N
&~~ I~ ~~ #(r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(;f<~?-4
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~.' CA CALLL FOR REINSPECTION BEFORE COVERING
Inspector: c.~ ' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl