HomeMy WebLinkAboutBldg Permit 01-1177
(Please type or print and sign at bottom)
. ADDRESS
lIe, 16
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /1)- J 0-0 }
$' J U ~ f LlI P-(!.u!
LEGAL DESCRIPTION (office use only)
LOT~I BLOCK I ADDITION
- ,
OWNER
(Name)
I. White File
2. Pink City
3. Yellow Applicant
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/ J)tJ1)du~F' Iff
...... -
b AI- 6" Avo S tf1H2. 0 JJ
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
$,L.
'1 (p ~/~
TYPE OF WORK
LJ~rl,J
_ (Phone)
Lu (1..
I dt .II>b ~! W
kl> '-(S- C-~{L~
A """" ~~ l) ~
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c-#
o New Construction
OLower Level Finish
OMiSCl<~eV r Lbj tJ61Y'-e-
(Phone)
(phone)
M,J
o Deck
ORe-Roofing
o Porch
OAddition
o Fireplace
OAlteration
I PERMIT NO. 0, - t\ 111
ZONING (office use)
M~ 1? IS a
PID;?5'''' /f5- OJI- D
C}&; 2-
'-I'-i~
!~ &"2_
PROJECT COST IV ALUE (excluding land) $
5' '6"" S Ir-
ORe-Siding
OUti1ity 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_mentiOne2d P. t' ..J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted PlanS~I am aware at the bu" . . g ~c" can revoke this permit for just cause. Furthermore, I ~9"eby agree that the city official or a designee may
enterup~~_ rmnee dms ctI s. O~
X ~) 4<6'8-3 10 -It> - " I
,- - Signature - Contractor's License No. Date
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
$
$
$
$
$
$
$
$
~.-
11/ " 2-<:;-
12.31
'2.C:;-v
This Application Becomes Your Building Permit When Approved
Boi\<ling OfficiO] ~rl" /.~I
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE /lOoiJ
IIJP ",
I Paid/Q-". {J},~~., l~-I
I Date /(, ".,"X! .{i/ (.1/
# $
# $
$
$
# $
# $
$
$
$ l$~.O(O
Receipt NP'~j~ ~ B
By Aff~
'"/)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Th. Cen'er 01 the \.ok. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -$ I . tiA1.~~ JJ ~
APPLICATION RECEIVED /0- J O-Q J
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at:
! 7 6/1J ~VAv1tJ (l~
Accepted){' Accepted With Corrections
I
Denied
Reviewed By:
"is. E:'IL ,J 1 e-
Fe, IJ ...,-
Comments: U P D^ rE
~~+~
J Ai" ( t:::. "-I () tt,
Date: J~MD 1
S~ Ic....e- ~E1 Ec:r-tJ'r'LS
t,()q
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 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
SITE ADDRESS I ~ ~ I 0 S'~ ~
TYPE OF WORK Lo" C!-~/,.J ~~I fZ...
USE OF BUILDING S r=- D
PERMIT NO. 0 ) - //77 DATE ISSUED 10 1,9/ D I
. , .
BUILDER sr-s/c AN D~kS~N : I JJc., PHONE # '{"'Z -L{t..l.K- '3~2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I....... I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~~. 1/;/3/~1 I
, FINAL
A
I 4- I 7/3//;2-
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 7-31-;;J- 6 30
f< hi .
,I?~/D ~ (t/~~
CONTR.
PERMIT NO. tJ (- 117 7
ADDRESS
OWNER
PHONE NO.
.-.
o FOOTING ~
o FOUNDATION ~
o FRAMING
~ULATIO
~~~~AL
o 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
t.Oe, NcJrI t?
COMMENTS:
_ .it r-
(Ij/~ ~
/'IWORK 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!
INSNOTI