HomeMy WebLinkAboutBldg Permit 01-1200
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
J. Ye\low Applicant
PERMIT NO. OI-fWO
(Please type or print and sign at bottom)
ADDRESS 1)
qlrhJ/k~ ~L
3- ~ 61yp-~~ IL.
I
LEGAL DESCRIPTION (office use only)
Date Rec' d
9/ ;;l1fcJ J
'i./'f
ZONING (office use)
LOT
ADDITION
PID~--3(;"o -,,/() -6
BLOCK
OWNER A LJ I _ .-
(Name) <..AW ()~~L ~
(Address) I/o/" ~ ~~G"~ .,{vi:'
BUILDER
(Name) ~6_
(Contact Name)
(Address)
(Phone)
(Phone)
(Phone)
TYPE OF WORK
./
[tr'New Construction
ODeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace
DAddition
OAlteration
o Misc.
PROJECT COST /V ALUE (excluding land) S
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 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
Signature Contractor's License No.
I Permit Valuation 1~~n.t:Jo Park Support Fee #
I Permit Fee $ ~. (:)0 SAC #
I Plan Check Fee $ 0.00 Water Meter SizeS/8"; I";
I State Surcharge $ '.t:)O Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee #
I Plumbing Permit Fee $ I Water Tower Fee #
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ lather
I Gas Fireplace Permit Fee $ I TOTAL DUE
"?ea'o ecAs Your Building Permit When Approved
fry J~ ~B.O;o(
- B ilding 0 cial Date '
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Paid
Date
Date
$
$
$
$
$
$
$
$
$ q.OO
IJ~ .I
Rec~e'p 'C 7.J;;;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
~'d b, fu, Ci~ p","", =bru<a. .=""'" C_." of Zoom, 'omplionre "",.nom '~ru<ctioo '0 ro~". B<fure 0='''''', . C_ of Oro<p"", mM '"
is <j ~V"- fL\ -I"?t/ e<--... ~c/f't/&\
PI:m~ ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
" ". v~ _j" .'\,~. :,. ";' ~
Thr ernl.. of Ihr I..kr Counlry
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:
,~~I/St,- 91:~.:h-
Accepted
x.
Accepted With Corrections
Denied
~
Reviewed By:
f'I/}'{5
Date:
/U-2..-61
. . .-
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
~) Frosion 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."
White - Building
Canary - Engineering
Pink - Planning
Tht' C'enltr of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,..
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if
q- ,?j-O I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"_;;;I/S,,, - ~;:h_
Accepted ~
Accepted With Corrections
Denied III J
Reviewed BY:~ ..A,
Comments:
Date: /0 -fA" 2flp(
"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
Tht" Cf'nler of the Lab ('ounll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(
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: /;}4~ [~~~ Date: UJ /I f, (tJ (
comK~~t~:~_ ),jJ ~(\. ()_ \ ".J. 1 __ ~ I If\...-.. _ ./
~7\/dJ. W>-.- ~ '?l.ALI(A<'-v &~ ~f;y'i9-f16~,
"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."
Oi: 2.1,' 2001 09: 04 FAX 651634 i 400
SEBESTA BLOlv1BERG
Providing Technical & Business Solutions
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BU.LDING AND INSPECTION
SITEADDRESS 3c.jS(o G{1~ \j;=:.
NATURE OF WORK ~
USE OF BUILDING (~L S~~~
PERMIT NO. ~OO DATE ISSUED jO-IBp'2e.:;/
CONTRACTOR ~,t4_);- f1.r'o\- ~ PHONE
NOTE: THIS IS NOr-A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I J
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
h
~/I7/0~
: JLECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A.
11/?/4~
,
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 ~p-en a="proved. 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
INSPECTION NOTICE
~
3'135 ~/2-1
. ()
CONTR.
SCHEDULED
A-.-":fl
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
-.6}1 - /200
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
f 0 SITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS: ~ ~.1~
~~
p<l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: I Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
345"G
//~M -o"L
(;/VI1 \;ifo,k, V (
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CONTR.
SCHEDULED
OWNER
PHONE NO.
PERMIT NO.
fl\.,..
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~~ILLlNG
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-DK
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect~
___ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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DATE:
11/01/00
PRIOR LAKE PARK BUILDING
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DRAWN BY CHECKED BY ,.....,
I HEREBY CERTIFY THAT _
THIS DOCUMENT WAS
PREPARED BY ME OR
UNDER NY DIRECT SUPER-
~~[~N~~?;:A~I AM A ~ERTEL ARCHITECTS
ARCH! NT STATE ~
OF INNESOTA. , /'
_ ~ 5 SAINT CLAIR AVE. ST. PAUL, MN 55105
z., ~ (651) 696-5186 (651) 696-5188 FAX
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