HomeMy WebLinkAboutBldg Permit 01-1290
I. White File
2. Pink City
3. Yenow Applicant
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
-")Dct~ \
LOP" BLOCK ADDITION
Lil, ~//2SCH
(Address) /
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BUILDER
(Name) H I L LC! I2E'sr #ttJJLI€ s:-
(Contact Name) C#12/S -::p~{)t./'Ie-
(Address) P (t), /.3I1JX ~ P/2/tJ/L L/J-~
TYPE OF WORK.
o New Construction
DLower Level Finish
(Phone) (S'SZ) J-9;B-7~65
(Phone) (9.s-z) 69& -76~ >
aJ ~5 $72..
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration
'"
PROJECTCOST/VALUE (exdudingland) $ 740-
DUtility Connection
Misc. ..s:J7lI-Ikt
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 offici revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope~ to pe~o~ needed inspe~o
X 'a-~~I-c.~ ~ ~ /'b-/t!!3 -0/
Signa re Contractor's License No. Date
Permit Valuation J 00. 0 ~
Permit Fee $ (P6. (0
Plan Check Fee $ '3 LOG..
State Surcharge $ ,-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
/tJ-21-0/
Date '
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $/00.01
I Paid
Date
~tNO.qOqIB
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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
:':~~/ty ~lanner constitutes a temporary Certificate of Zoning compliance and allows conslIUction to he. Be~ore oc~pancy, a Certificate of Occupancy must be
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Planning Director I. ate Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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Th. C.nlor of Ih. Lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMli'A'P~:~~dAt~ffDEPARTMENT CHECKLIST
NAME OF APPLICANT /I1iJt:'/Jl Ii r U ,iv
APPLICATION RECEIVED /0- /9 -0/
/}7,'y :~c_.f\
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 5 LJ ':3;2. ~''C (j lL1. /~ F<? .J
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Accepted
~
Accepted With Corrections
"
Denied
Reviewed By: LJ::~ ~--
Com ents:
-r-z
Date: ~ L I tt/ e>1
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to bQ 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 e:r cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 16,-/3;:), fkJ. C:>aJ:~ f2d. .
TYPE OF WORK Ckck: d- S'4T'-~
USE OF BUILDING S Fb
PERMIT NO. () (- /;2 90 DATE ISSUED /0 - 2 c.fp. '2L7e{
BUILDER .J:{jJ c..hD d- ~ PHONE # 878 - 7u~"3
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 FOOTING I ~ I Il/~~/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J~ I I
I FINAL
r---Q(1 ~ "q'r>>
Call between 8:00 and 9~ for all inspections
FOR ALL INSPECTIONS (952) 447-9850
(S f~'2..
SCHEDULED 1/1"(.:t.
~~S Ro
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
lo~o.:>
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
_( - tZl:f 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
r<e.~INAL
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 GASLlNE AIR TST
o
COMMENTS:
Ala
~ dVl CS~'-Ir-
'-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 0 K, 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 & SAFETYI
INSNOTl