HomeMy WebLinkAboutBldg Permit 01-1072
(Please type or print and sign at bottom)
. ADDRESS
/6"73 I5LAN/J
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9- d-/-6/
1. White File I PERMIT NO
2. Pink City . /'J /~ I/J ...-, '""\ ___
3. Yellow Applicant (./ ,- /U / c:r-
VIEW
RD,
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2 ADDITION IS LAA/O III c::kJ 5 ..0:\
OWNER
(Name)
ZONING (office use)
RJ5D
PI~-d~~- 00 q-C
Dt7N .,.. ~ .41/L?v
. ,
/S"lDJ TJ{AAJ{)
J-I€A/LJ~l c../doJ
LI~ &i;) - .t&1Ja
(Phone) !l..S;).. - Lj,/ 0 -?, t( 6 ~
j, . \IV - 612...- 72.7 - <J?i3
Art;[
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
o New Construction
l2Deck
~Porch
ORe-Roofing
ORe-Siding
OUtility 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 pI 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
:k<"PO rope ~~
,. Signature Conttactor's License No. Date
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
OLower Level Finish
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
4,.opo. ~
9'7.~
~~ . "L\
2.~00
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Park Support Fee
SAC
#
#
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
.okcY It.,0\
~.~ C/. ~
$
$
$
$
$
$
$
$
$ 1~~/lJ lp
-
I Paid I", :J. ' l( b )
I Date . Q--;)'l-o
.--,
Receipt No.l/Ob -.::)..::;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
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The ('tn'er of Ihe takt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DQ}J r &zlUdlJ ~r>lUdV'/~/LS{)oJ
(l-~-()I /. -
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/st,/3 ~dtMJd I~~~
Accepted
Accepted With Corrections X
Denied /J /1 /J J
Reviewed By: ( _k:1/ f/...,'y---,., A Date: 9'- dG, -CJ /
Comments: -- '- - J.... -
~ ~ ri~ ~~aJ-
"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,"
I..... .-. '_~ ~,-,.- ~ --~.
The Center of Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~7 S /\UM1/i !./-1'fAA.1
Accepted
v
Accepted With Corrections
Denied
(/~
Reviewed By: ~
........
Date:
q/J-b/e I
Comments:
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tfl,<\CW"<:- AercJA fAJrlll "e4,tJWe.- ~
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~ ql9tt,q k ~tJ.~ ~A M-&\h9v1
~Atev\ 0 (
"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 DEPARTMENT OF
. ' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS J5f.o~~ I;J~\Jr'euJ
TYPE OF WORK Du-\,
USE OF BUILDING SFD_
PERMIT NO. t:JI.. 1fJ7~ DATE ISSUED 1-2'.0 (
BUILDER He;~t--tC'_,-~ PHONE # '1l/lJ-1PV<ot(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING S~ ~ ~,\o~, t>c!llt. ~ I INS~O~ ~ I ~ ,~'Eb;l
PLACE NO CONCRETE UNTIL ABOVE HAS 'sEEN ~G'~ED
I~ I I
I FINAL
.ut!!
/ / ,
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t
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 . A _ L,. /'
INSPECTION NOTICE SCHEDULED ~/~
ADDRESS Ie?? -kL-b/(c~
OWNER
CONTR,
PERMIT NO, ~/-/o?2-
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION a MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION a SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
p-srrE INSPECTION a MECH FINAL
COMMENTS: ~ / ~~
~ /~ ~ /c .r-; kf:i
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
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----
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~ORK SATISFACTORY. P~OCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~9~ .#, REINSPECTION BEFORE COVERING
Inspector: ~' Owner/Contr:
I
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 6 -" {)R~ It ~
/5"(", 73 JJ dl1/J! rL U~:.u.;-
ADDRESS
OWNER
CONTR.
PHONE NO.
~OOTING ~
o FOUNDATION~
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
( -IO~
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 GASLlNE AIR TST
o
COMMENTS:
-f-..d-~ r'"-" ~... l')~
nl
o WORK SATISFACTORY, PROCEED
o CORRECT ACT ON AND PROCEED
o CORRE~~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ (j;L Owner/Contr:
CALL 447-9850 FOR n f NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ~E FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl