HomeMy WebLinkAboutBl Prmt 01-1134 Oversize Survey
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I 0 - z. -0 I
I, White File I PERMIT NO I 4' j
2. Pink City . 0 \_ ( ?.
3 Yellow Applicant , ;."I
PID ZS-afe.- DOZ.-D
(Please type or print and sign at bottom)
ADDRESS
LftJbO &mbt:.-.sS~ C:- t/E.
(/
LEGAL DESCRIPTION (office use only)
LOT 2. BLOCK
I
ADDITION MAP~
L; I ( A. Vll
~~A~7 '1
P'
L/~ II ~J
(Phone)
491.. ~o ?? t..
OWNER
(Name)
ZONING (office use)
R/
,1<( ,VI n.
4- 'J-' {}
(Phone) <f 9 f:, - 0 3 "3 ,e.vu.,~
1(,3 -47 'f - b l'JO d{J""WI.J.~
Cy
N~
(Address)
BUILDER
(N ame)
!<tMn..
Cf ~/., 0
C/-
tVE
(Address)
~b~JS 1
~
o New Construction
ORe-Roofing
~eck OPorch
+ S~ Y'oOf'
o Fireplace OAddition
TYPE OF WORK
OLower Level Finish
OAlteration
o Misc.
PROJECT COST /V ALUE (excluding land) $
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 plans. I am aware that the buil' official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter uPoj{:noperty t e or need m ections.
La/-Jl.OI
'v Signature Contractor's License No. Date
$
$
$
Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
r:tr&hiS a . n Becomes Yfur Building Permit When Approved
- -Z~-, J~ I~ -ID - 2r:;o(
Buildmg O,,"cial Date
Permit Fee
7! (JCr) . q:)
I~. '2$"'
16.51
).s-o
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
TOTALDUE tAtU;O 10-II-DI
I Paid ~ 33 . a.,=, .
I Date jO,-/ ;).-0 I
Receipt No. 4070,
By ~
(J
#
#
$
$
$
$
$
$
$
$
$ 2.33. ZIP
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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The ('"nfer of the L.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LI LGAND, ~5V[ tV
10-7..-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45&2 0 6M f5A 5S V (!"I r2J!.A..E
I
Accepted
Accepted With Corrections .)<.
Denied ~/J!?
Reviewed BYWv~~
rf
Date: /0-10 -'2JJo /
Comments:
()~dkh S~~_
"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 ('en.er of Ihe Lake Coun.ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LI Llf\t\Jv, ~EV{ I\l
JC-z..-C)I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 S&:O E 1"1 t~ /-\ ~<; V C lie t L-E
I
Accepted
!~
Accepted With Corrections
Denied ./'"7
ReviewedB{'~~~.
. ,
c~.Qv- .<cv~ +~-.,
,t.:JQrQ:LvA ~ ~ . : IA)t'Vl ,~
~~~~_'bD 'fY~ [~ ~
r ,_
Date:
te:> /~/LJt
"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 4\.l:J(r;6 ~foe;~5U-. 0-.
NATURE OF WORK -fd,cl... ~ ~~ U
USE OF BUILDING 5F"1>
PERMIT NO. 0/- IL::Y-- DATE ISSUED /o-ltJ-~o(
CONTRACTOR ~ PHONE7"!-if75.~1o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FB,
DATE
FOOTING
8E:U'E:FI · "'ATICCI' ~8E:Pl1C
.. I.. C""
FRAMING
",U8tJLATI8~~
ELECTRICAL
p~YMBnJS
"~Alll,,\IlITrequlred)
, ~IAiPb.A8C
~ ^ & L..I~IE: AIR TI:.sT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
tJo ~ ~ ~ ~ ~ l?.,l,
FINALS
GRADING (Prior to Sodding) I ,
BUILDING rli'rv / ( -(p --02-
ELECTRICAL
PLUMBING
HEATING
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 shall 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 /1-(, Jt~
INSPECTION NOTICE SCHEDULED
ADDRESS 4ao fJlVt ~oJ >\.1 c,r-
OWNER CONT~
PHONE NO. PERMIT NO. 1- I !"3L/
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION {)('l;11.. o SEWER HOOKUP o FIREPLACE FINAL
e.e. ~ )if" FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
it CO,Y-eC4IUl/i)
,
Yf1qc!~
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t
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. ..' " - .~ ' . - '.'- - ,'-
..,0-""_'" ,- ......-, .. ..i_".'-,
.' .
",'::. '''.?s;. :"'-,', .' . .~:; ,,- ',:""<",' '.'., _.' -"
-,
f! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: y1;(111-G -oL Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl