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HomeMy WebLinkAboutBldg Permit 01-1171 (Please type or print and siJm at bottom) 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