HomeMy WebLinkAboutBldg Permit 01-1113
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.3z62. ML991'-1
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
9; ;}-6--() I
I PERMIT NO. 01-11/3
~/
5W
LEGAL DESCRIPTION (office use only)
LOT (, BLOCK 2- ADDITION SulllS6T 1-/1{,t..5
OWNER
(Name)
WI L-l/ 1,e:J fVl
3282 !3A-/$A-YY\
p(/(,K:-
csT: 50
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
OMiSC.~
o New Construction
OLower Level Finish
ZONING (office use)
1<-/5 D
PID 25-/72- 007-()
(Phone)
44-0 - 5ZO /
(Phone)
(Phone)
o Deck
o Porch
OAddition
OAlteration
ORe-Roofing
o Fireplace
WIA~ PROJECT COST/VALUE (excluding land) S
Ii ~ vv- 0
ORe-Siding
OUtility Connection
I hereby certify that I have fumish~d 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 th~t the b . ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro erty t perfi n d ~pe~ /) ). .. /. l )
X ~ IA ~ ~ ~/?C./2CX)/
v Signature Contractor's License No. ' Datl
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
,
comes Your Building Permit When Approved
$
$
$
$
$
$
$
$
~.oo
'2<;".a ~
>A I . 4 7
3.00
$
$
$
$
$
$
$
$
/O-tJoOD I $ Zaq. bh
,
;Itt:'t
Receip .~" q
. By
I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~UA20
#
#
#
#
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
~~~d ~y th:.{tyA1anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
/.I~~.\---e=_.. --" tcIC!B{ ~Ct.c61 ~~b1-<
,- Planning Director Date - Special Conditions, if any -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
10 -l-'2a:;/
Date
I Paid
I Date
Z09:fo{P
/6 - 11-0 /
- ,
~~\w, " .)~..~~...)..\ .,. .,.'~ ~.<. :'\~';!","~i . ii y',.
"t'. .. . ~:'~. ,,~_.~,", _ . .'
Th~ (",nln of Ih~ I..ak, Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !t.,) J.fl ~i1n rJ.J4L../'
APPLICATION RECEIVED q- CJ--ro-O/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 d.-f ~ t3tdoa/}xJ S+--
Accepted
~
Accepted With Corrections
Denied
~ Reviewed By:
NJ(J()
. bate:
/O-S-ol
. Comments:
.
I
See Reverse Side for Additional Information!
. i
.;
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
Tht ('tnl.. o,.ht Lakt ("ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j'
/..._-1\:,''- i ,~._.-*'//
;
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~
-t-.
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ ~ - I (\ ~ -4'" -'___
~~ - ~--~
Com ents:
Date:
le/~/{JH
.
.~"'\'Go Vlo ~t-en0 ~
*~ CO;Ma'~fL aM/jT~ ~tl~
ev\~~e-h ,',M_^ /)l) ~ eJA.r<€.vv._~
r3-Fr ~ ~~~6t~ ~~~
~_ p~,jp IIC-,}~~
"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 CrAter of the L.b Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ll)A1~ p~
APPLICATION RECEIVED 9- ~-O/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 d-?~ ~tdo~ S+-
Accepted
x:
Accepted With Corrections
Denied
/6 -
Date: /0 -I..... ZaO(
Reviewed B
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
a~JILDING AND INSPECTION
SITE ADDRESS -.3a8~ - ~l QI1..~ Sf-
NATURE OF WORK Atfl&" L~cM.
USE OF BUILDING (~
PERMIT NO. n/- / / / u:3 DATE ISSUED /0 - (.. 0/
CONTRACTOR ~1 illl (< _ PHONE f/t;o -$"2CJ/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
....INSPECTOR
~,
FOUNDATION (Prior to Backfill) I ./!Pr . I J 0/1 S! () I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
I/O/II /01
.
I
J
FRAMING
~1CIf-
ELECTRICAL
G
o#-~ A~/~P3/tJ/
I COVER NO WORK UNTIL ABO~E HAS BEEN SIGNED
I ~ I f7;r, 1()/3~r
v' FINALS I
BUILDING
ELECTRICAL
~.
/
S/r it; z-,
--
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 ftlall 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
12-2-03
ADDRESS
32~.:2. &Isc,frl 51,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6/-1//3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
AII- t9K...
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner!Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTl
.!:J"- 3-d- 3 / ~
S d ,~- ,f;c:doc:Jv1x~-f-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION(dff/i/"IJ -10 SEWER HOOKUP
lJ,3(sNAL ~7 - 0 PLUMBING FINAL
o SITE INSPEC ON 0 MECH FINAL
COMMENTS:
(7 tI C;:J.l
.......,
~
~.
w -
DATE TIME
1-11/8
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f.P WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: - ~ Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!