HomeMy WebLinkAboutBldg Permit 01-1171
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 4 ~o~
Dove.. C~
LOT 9 BLOCK
LEGAL DESCR1t'uON (office use only)
Date Rec' d
10-5-01
I. White File I PERMIT NO
2. Pink City '0 (- II 7 J
3 . Yellow Applicant
ADDITION hn() h Wi I \ .~h
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK.
o Misc.
Novak-Fleck, Inc.
IEi' l1oolol fJ 1'\,,\1. i~.
BIQOkIyn Pelt, MN 5511!
(783)424-4955
o New Construction
~eck
o Fireplace
. ,
ZONING (office use)
12.1
PID ~ ~ - 3loV .- 001. (J
(Phone)
(Phone)
(Phone)
~orch
OAddition
ORe-Roofing
OAlteration
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 ora designee may
enter upon the property to perform needed inspections.
X ~ ~ ,.nl-uiht-ll ..lrJ h
SianAture ~~-0
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
,
4: /!)t"\ ~ . ClI2...-
Cf7. 24lr
(, 3 ::!!
2.()o
.
. 0 K~;:;7-;~d
uilding ~cial Date ~
cr::c:>l (nO'
Contractor's License No.
I Park Support Fee
SAC
#
#
lets
Date
$
$
$
$
$
$
$
$
$ 1102 ~ t16
-r;iltJ (J ? d- >r
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. ./l
~/I~~~__ IbJt~/l")l ~._~ ~i h~J~~
· V g irector 7' , Date ~ia1 Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Water Meter Size S/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
-
~I"O\
It;;}.... Lf f.to
. - l/r g(}-Ol
White - Building
Canary - Engineering
Pink - Planning
Th. ('.nl" 01 th. t.k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
NOVA~- FGEl~k_
lo-S-OJ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J ~30&; DOVS (1./'
Accepted
Accepted With Corrections Y-
Denied _
Reviewed By: ~ 6Z. I'~ k
Comments:
Date: /0-1'.. 200/
~.~~
D \l1.V\.
,
ec;,,~*~
"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 Cenler of Ihe L.ke Counlry
White - Building
Canary - Engineering
Pink. - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tJ (; VA ~ - FL E Ck:......
16 - 0 -0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
143C(c
DCJVS
('~ t
.0
.~
Accepted -t/
Accepted With Corrections
~
Denied I
. r<' - .II
Reviewed By: ~,~ {~,~
Date:
te/l/Z{Q(
I.
comz;v~ ~
&kll~$V} p
'f
.
'.
"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."
I
!
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J'I~~ ~ Q\..
NATURE OF WORK ~ ~C)H-~: + b~,.lc::-
USE OF BUILDING ~ 1= D-
PERMIT NO. e;/- (17/ DATE ISSUED IO-((-'2t!:D1
CONTRACTOR ~h W:.- f'~<:. -r.=-~.. PHONE,)'3'.I/2q-l/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
t FOOTING INSPE~~a.utIf I tI J dlJ,DATE
/
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
~
ELECTRICAL
~.
IZ/I'~ /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
~.
1&'/.'2-.11'''2-
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
INSPECTION NOTICE SCHEDULED ~. r). '1'" d-- (C) ~(JV
ADDRESS ) L/ 3o~ f) LJ U e..., (!;l-
t. -;
OWNER CONTR.
PHONE NO.
PERMIT NO.
j- I(~ J
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ WATER HOOKUP
iESULAZI 0 SEWER HOOKUP
FINAL mJ\ 0 PLUMBING FINAL
o SITE IN . ECTlON ~ 0 MECH FINAL
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CfffU- ~,
A,ORK SATISFACTORY, PROCEED
Q'~'ORRECT ACTION AND PROCEED
:'::O:ECT WO~F,OR REINS:::::::FORE COVERING
, -J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl