HomeMy WebLinkAboutBldg Permit 01-1101
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 9- /'1-01
(Please type or print and sign at bottom)
'" ADDRESS
'- I4'lOb etf~y (2-;-.
LEGAL DESCR1.t' nON (office use only)
LOT ;::; BLOCK
'-../
I
OWNER.... I I
\ (Name) ~ I .M. 1-
\.
(Address) I Ll7 &D
BUILDER CJ
(Name) 0-c&L~
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
GJ Misc. R 1'\ f\
OLower Level Finish
~~4l\<7~t>lh7")
PROJECTCOST/VALUE (excluding land) $
o Fireplace
OAddition
3.000.00
83.2.S"
54. I J
I. SO
~. ~i~~e ~~:y I PERMIT NO. 01-1101
3. Yellow Applicant
M
ZONING (office use)
,:{ J Sf)
PID ~- d- 81./..... 005--(?
(Phone)~1..- '1'-17- ~qqt/
(Phone)
(Phone)
ODeck
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
"'-"
$
$
$
$
$
$
$
$
$/38.1i~
Recei{'t No.
BY~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ J - ItJ/Lf!O( ~
..., ~~ D'" S"OW Coo";oo, ;f~y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ADDITION ~.--dlt.-,
S'~l\V f.I~VI~
etl-$~l( G-;:
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
,"bmil'flfj/ ._ thot th, bWlding offici& ,~ ="'" tbi, p<nail I'm jo", "''''' Forth=~, I ""'by""", "'" "'" city offici_ ~ . "",;g..' may
enter up 0 rty to perform7eeded . ections.
" '" <"'-..
-X VWl\!
Signature ~ Contractor's License No. Date
I
I Permit Valuatitl
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 $
F/nlioo_-r;;;;:;;;
{J'...tJrtlng Offi ~l Date
Ii'
o Porch
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE ~
I Paitl/.::)8. ~
I Date /0- I'J--O I
#
#
/O-~-()I
L'i~< _
~
'~
"'....
The Crnltr of the' take Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT / ?-/7c:Y)
APPLICATION RECEIVED! - /'/- /
/v-<
ff
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied ~
&.
Reviewed By: ,,-' ,,~~
-
Date: ----11D If'? / 0 !
com~>tJ ~ ~. I'~~.€,..p;:.#'l ~
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"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 {'f'ntrr of the t..kf' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT / L/7~
APPLICATION RECEIVED 9-/7- /
~QJ--
u
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
Y-
Denied rJJ
Reviewed B~ ~c;A
Comments:
l<~ ~\'- '^~
Up~t1Lk ~\c.o &~12C.\.o~ ~+
Date: 7-/r-~(
o~~ ~~
"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
I NSPECTIOfiftECORD
SITE ADDRESS I L(7 h~tN C+.
NATURE OF WORK or.;..:' d- ~~I~
USE OF BUILDING t::1:)
PERMIT NO. rJ/- //0/ DATE ISSUED 'i-ICY-~(
CONTRACTOR u.l", I.Alll'c..(<:- PHONE~-l/lj?-ft;t{'l,/
NOTE: THIS IS NOT A .1PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING
INSe;CTOR
~
,
FRAMING~ If>r t.J/I'b!/~ ~~ ~. 4(;;1.((0"1--
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
)
. ",11
f/4/J-
/ / ~
J1~5/Dt.f
J
BUILDING
ELECTRICAL
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, card sh2l.11 be. placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~ / ,-/
INSPECTION NOTICE SCHEDULED ,,J> / ~s;/o/
'/ ,-
ADDRESS /.7' 700 Ck e.r7 C/
OWNER CONTR.
PHONE NO. PERMIT NO. 0/- //0/ .
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-R FINAl
o SITE INSPECTION
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 RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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C/05~ fCIF___
~ORK SATIS (. Y PROCEED
I k C'ORRECT ACTION AND PROCEED
o CORRECJliZT. OR . C FOR REINSPECTION BEFORE COVERING
Inspector: j. ~ Owner/Contr:
c..--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI