HomeMy WebLinkAboutBldg Permit 01-1049
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
.ase type or orint and sign at bottom)
.DDRESS
llf/i?:> BJue SIr}) TrC{l( /lIF
,
LEGAL DESCR!yuON (office use only)
LOT I BLOCK I ADDITION
OWNER
(Name)
(Address)
BUILDER
(N ame) .M () Yl t'LeA1. S
(Contact Name) <I "rt-1
(Address)
~
TYPE OF WORK
o Misc.
~1(j.jJ..L
fLJ'U~ a rJ~
'"
(Phone)
NING (office use) I
(<)
PID%---3~5 - DO/~
cu ~ T7'. N1 ..gUI Lf)e r::
. -- I v I . ,p '-'"> (Phone)
11-1 0 y1 ,/t e- "'1 S (Phone)
7iLj FaS7 ) S T /file:. I ShQ. k(r~(
o New Construction
ODeck
.Porch
ORe-Roofing
7~2 '- /116' cJ 9'z/
6/Z -359- l/6/g
ORe-Siding
DUtility 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 perform needed inspections.
X ~~ ~~~ tt- /7- OJ
I Permit Valuation
I 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
/)/1
aAW ~ '00 ~
BJilding 0 cial
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
Signature
$
$
$
$
$
$
$
$
I 3. O('.r) . ocl
- .
~~~_?~
/C/5-. I (
~.sV
7-2/~1
Date
OAddition
DAlteration
#
#
#
#
tj-U-OI
Date
$
$
$
$
$
$
$
$
$ 374. ?J1o
Receipt No. L/ V (e, d-'=>
1f~j
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 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
~ ~ -Y;k:t/Ci ~O k~l L~~~
v Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
, Water Tower Fee
I Builder's Deposit
I Other
!TOTALDUE ~D
I Pai4 ; -1'74' ~ b
I Date C;'" ;l ~ -(> ,
White - Building
Canary - Engineering
Pink - Planning
The C'f'nlrr of Ihe takt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /i1/).A.//I/e-~( /l_d<:.foM ,I} Jirs
APPLICATION RECEIVED q -/1-0)
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is.proposed at:
/'1/43 ~~ ~A/
~
Accepted With Corrections
Accepted
Reviewed By:
""
Date:(/
1-2(--O(
Denied
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 Cenlff of Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/i ./ _.
1"1 .,'
t"'.
,
/("' /~
i'
j
/'7" (/)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is- proposed at:
/ il {/" /1 \
Accepted
~
Accepted With Corrections
Denied r. !\
Reviewed By:~k-(D~
Date:
q/.kJ/O (
Comments:
_~ ~ 'JcrY~ /~J.;A~ l2 t><l!L:
~/J.. ~~ /l/.~ r;::"
....
V)y~:i &uJM,/ / ~l/~ ~
{i-'r1"~'Z.! ~.~ L~ (AM.f T!r~
~ ~ "\.0 l/iWL~ ~~.
"
"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 aoy 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I Y l 4 :5 ~ " ~J , ~ '
NATURE OF WORK -!Jell) ~~ / (/ X 1'2...
USE OF BUILDING S~(J
PERMIT NO. (J/-/{)4q pATE ISSUED Cl-24-o/
CONTRACTOR Mo,^'^--'l~' C~ ~C-t. -Q. PHONE ~f2-~_f./~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
1/0// /0/
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I~OR
DATE
,
FRAMING ~. JI /,,2610 (
INSULATION 'tb,. J;i/4h,'
ELECTRICAL ' .~.
f"t /I / t 5/0 I
HEATING (if required) t1=h
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
..
~
fo/.;;4/~
HEATING ~ ~/ ;)L{ / bV
. .
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, cacd'shal'; be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED fa ~5
I~(qa ~~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j- /0 t.{!j
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~ ~SULA!I I _ I'd. I ) 0 SEWER HOOKUP 0 FIREPLACE FINAL
)J(FINAL Cj( f'-/ 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE IN P CTlON 0 MECH FINAL 0
COMMENTS0\l ~r~ 1'~ ~1.. ~
.-rl1 I~ ~ ~~ l.>o ~ -
OO(r~~~ ~ ~,)
/1//
(IIY.l~
e...
"':" ; to ".
~,
~WORK SATISFACTORY, PROCEED
, -
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.~ _ Owner/Contr:
CALL 447.985:r~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/iSNOTI