HomeMy WebLinkAboutBldg Permit 01-1045
(Please type or print and silm at bottom)
ADDRESS
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
J . Yellow Applicant
S'J 2S ~\Sl .\ J'\0A~\1
N.t
LEGAL DESCRIPTION (office use only)
, LOT /Zft--tCK. 13 ADDITION I N(),em SlIOee (!/Z65T
OWNER
(Name)
PID 2..-J5 -040 - 0/2- - 0
\c-\. Q\) 0 r>-C'- \ '0l\ , Cl N... ~ f'..{\ )
~:, a. s ~ 1\\ n-r T\.n. '.. \) f\./ e
(Phone) .!15~- ~y,C},- ~ l( 910
I \7J'L..U'i\ ~\1Q ':Jg ~ ( V
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
(Phone)
(Phone)
o Deck
~orch
OAddition
OAlteration
ORe-Siding
OUtility Connection
&Misc, Q~,- G\J...Q'i\ \J\ lj\j\.\ [.:)b~t PROJECT COST/VALUE (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 ~operty to perform needed inspections.
X \~~ \f\\~ Cl'M ~., 1\ QNl ) 9 u s-I (J L
. Signature - Contractor's License No. J Date I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
sO? . 00
$ 2.3'SO
$ I~-' '-I
$ .. ~-o
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
ORe-Roofing
o Fireplace
Park Support Fee #
SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
Builder's Deposit
Other
TOTALDUE MUIELJ 9,1,/,0/
39.d'7
4-?JJ.4) J
. - '\ .
I Paid
I Date
$
$
$
$
$
$
$
$
$ 3Q. ;)7
, ,
u
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
~bYfu'C~P=="YCatifia~~7;~_mdill~~~ :Z';dC~:
7 ~;"g D;""" ""'" S",om Coo'moo, ;f my
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White . Building
Canary - Engineering
Pink - Planning
The ('tnlrr of the' l..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ANObRSCJN I HEL,6N
"
q- /f3-()j
, -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5325 5HOe& 7l&'l/L- N6
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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 Cenler of Iht takr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
AN06/~S()tJ. flEt-6N
,
q- /fj.. OJ
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5325 5;-j()B6 7ldrl/f-.. N6
Accepted ~~
Accepted With Corrections
Denied
Reviewed By: ~ -(IJ. ~ -"'~~.-.. .
Com ents:
Date:
q /;Z~(~l
~vJ
C?1L~~4 ~
r ~ o:v-w-
~~~
"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 ,-l:J~2~ ('1~N ~ / t:o..; /
- . I
TYPE OF WORK CoJ..u- OV-u..... Steo
.
USE OF BUILDING 5FiJ
PERMIT NO. (}/,. /04;; DATE ISSUED 7'- ?,-o(
BUILDER AwL.>~ PHONE # ~-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
..-iNSPECTOR, DATE
FOOTING I /9:rt I II/J/ol
PLACE NO CONCRETE UNTIL AB.OVE HAS BEEN SIGNED
FRAMING I I
. /'
I FI NAL
//~~
6//~~
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
ADDRESS
......<;--:lAJ cS'~re_
OWNER
6/}ifiy TIME
~ .
~//
PHONE NO.
CONTR.
PERMIT NO. ~/ - /Os<r--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
riTE INSPECTION
COMMENTS:
. I' / /
~e/Or/c
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..,-- /
( 6~/, /-C
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
r-e
~.~~..~
/
/ ~/
~ C:-/6fe
---- ---
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
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y
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~
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI