HomeMy WebLinkAboutBldg Permit 01-1201
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siWl at bottom)
AIlI\RESS
ij~~ ~IL
/7/rD ~N-IJ-'~.
, -
LEGAL DESCRIPTION (office use only)
<
Date Rec' d
C;-;;;2~~ J
PERMIT NO. 0 I""/~O /
ZQNING (office use)
",;1c) 50
LOT BLOCK A~DITION PtiA..h df I, /rkd"1f~ PIDU' -370 -t?,,'?-O
OWNER A V
(Name) l.A* OF7~'o,,- ~ (Phone)
(Address) 10n ~c ('/~~V .~
BUILDER
(Name) ~L
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
~w Construction
DDeck
OPorch
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 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_
I Permit Valuation
I Permit Fee
Plan Check Fee
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
D Fireplace
OAddition
OAlteration
Date
# $
# $
$
$
# $
# $
$
$
$.fIq.OO
'. ,
ReceiplJiJ M.l.J-
By /f~
'1/
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.. "
c:';f~e~
)~ - Planning Director
PROJECT COST IV ALUE (excluding land) $
Signature
Contractor's License No.
IBfoOO.OO
$ 0
$ 0
$ if. 00
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I b - J~-7A,1
I Paid
I Date
~vl/
I&-'>,j". r:/ I
Date
{.e/'tt/~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thf ("C'nln of Iht takt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
q- ;}i-O!
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/06 qA;Jc~ p~ l?cl
Accepted
N..
v
Accepted With Corrections
Denied
Reviewed By:
/1(/fCS
Date: /V ~ "2..-0 I
Comments:
See: Reverse Side for Additional Information!
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."
~
White - Building
Canary - Engineering
Pink - Planning
The (""nfer of Ihe Lake Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
Cj- 'd-J-C;(
04
o
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which _is proposed .at:
,/-7/06 7--kJ'~ Pcn4 'IN
Accepted K
./
Accepted With Corrections
Denied ~ I};)( A -'
Reviewed By: (4v ~/~
Date: /0 - /!?- ?bor
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."
White - Building
Canary - Engineering
Pink - Planning
The Ct'nter of .he- t.kt Counlr)'
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:
./
I
i
Accepted
~
Accepted With Corrections
Denied _
Reviewed By: ~ ~ ..A:-:-~ Date: Lo /tg. /~ (
Comments:
~Nl ~ (2<'-vl< ~ ~~<,A-J. /
"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 ofpny 9ther 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
DE.PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS moo F~~J (4R
NATURE OF WORK ~ ~~
USE OF BUILDING
PERMIT NO. 0/- /2-.9/ _ DATE ISSUED _/0 -/8 - Zool
CONTRACTOR J:..\h. ~r J1,~r- ~ PHONE
NOTE: THIS IS NOT 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
~
b:A
1 / /7/~ l.-
ELECTRICAL
)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
--
...
~
1//7~'-
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
Pd.
{,'Iv tfr P,(~/Le,Kt
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A/ .../~OI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /7/(90
hs4
PI-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6/,t:;d~ - f9!:...
DATE TIME
/I.);. -oL
~XA@<A~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~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!
JI'ISI'IOTl
SCHEDULED ~ A..T,
~ f'of-. t2J.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 7/ ~tJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
llid FINAL 0 PLUMBING FINAL
TI SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ ~
~
-
(If'~ ~
DATE IIMt:
0(- /2-0 I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
!"WORK 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..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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