HomeMy WebLinkAboutBldg Permit 01-1308
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or vrint and si~ at bottom)
ADDRESS
I Lf~ ;;? ~ ~ -H-<2~
LEGAL DESCRl.t'TlON (office use only)
Date Rec' d
I 1- 6 .. 0 I
1. White File I PERMIT NO
2. Pink City . 0/ - /30 ~
3 . Yellow Applicant l)
/ flA-; (
LOT I BLOCK 5 ADDITION (!.A-I!!.Ie/PrGG f/1U-.tS.
- -
lom.../ f.e4< t/j P, epe /l
J./ / '/J '
J Lt., :'). (' ) MIk~ rl efert.
, \ - .
OWNER
(Name)
(Address)
BUILDER () /" 1: ,../"'
(Name) t{ 1JNCi){L L t)^'s;' ~V.C, I CA-
(Contact Name) l ~fLt;) SC Ltc, -e I ((!Or(
(Address) l~{)7'f6 L....N JJ.. c A~ s:;
,
TYPE OF WORK
o Misc.
ZONING (office use)
12.1
PID 2&; - ZB4-- - O~-O
(Phone)
tf'/-D -<[1~" 0
(Phonel9 rz.) ?'~rr-6""Q8'
(Phone) (bl2-) ~7 J--Lf8'3 2...
61 () tlW"
)$[Deck korch ORe-Roofing
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ ~ .7lff
,
o New Construction
OLower Level Finish
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
t for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
. I am aware that the buil' official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
property [0 pe eeded' ctions.
+~
Signature
x
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
_ _ A
~)
r Thi ca~on
Uil~ Official
$
$
$
$
$
$
$
$
3/. a:1'\ -on
q 51. as-
'2.. '!'!- .t6
1<;'. ~(J
~/,d"o(
Date
$
$
$
$
$
$
$ I
$ I
Uft.,(,.BlJ 11- IS - 0 I $ '7 t, /. oS- I
,
Recei~~ I
BY;;VV-- I
;1337
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
#
#
#
#
lo/~~ I
Date
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
:::tgned by the~City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
--tJ1.-A I ~--f tl/1o\{ateIO\ ~a1C d..J'f~~
~. an mgl>irector ~pecI on ItIOnS, I any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Builder's Deposit
I Other
I TOTAL DUE
I Paid IJ(,/. rJr
I Date II...'/)'-nl
.,. ,
"
The Center of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I(J C 1\;.. C C, ~ C ( I !~~- -77::_
/ I - y) - () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j 4-72 5 -'rl<~ ( I I t: i..~ -r-1< A I L-.,
Accepted
v-
Accepted With Corrections
Denied /f
Reviewed By: L.;i -{~~ Date: [/12 L( /'81
Comments: _
~~L~ ~ /~_~~
t14 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."
.
~-:."!
White - Building
Canary - Engineering
Pink - Planning
The Center or 'he Loke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RONCOe... CONS/f:-.
11-9)-nl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-725 -,R-Ut ,~R<=;
Accepted
Accepted With Corrections
rRAIL,
~
Denied
Date: /,/- I i-ol
Reviewed By:
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14if 2~'"' . 1~{I.pK: C/? i
NATURE OF WORK ~t"r_~ \p~&-
USE OF BUILDING ,'5F'O
PERMIT NO. .. 1)/- 1~(jFj DATE ISSUED I' - rtf-of
CONTRACTOR ~c.~ (~'1 Sd.t.l.)~ PHONE-'d2- ~ 7c; - q82-?
NOTE: THIS IS NOT A PERMIT FO'Rl(NY OF TM'E INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I DATE
FOOTING (Z\ U.I alLvi Of
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~ &.t- \1 ~t)z.- ~!t
A
~~
~,
I
;;;!c3{) //Jl
I !;$Iovz,-
I ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
rJr.
~!t jD,)..
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 be~n a~proved. On buildings and additions
where no service cabinet is available, card stiall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
OA TE TIME
SCHEDULED ~J t) z,- 3'r 3 a
T~ ,T1<-L J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /17 d-5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDA TIO{(fJ 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)!! FINAL 0 PLUMBING FINAL
o SITE INSPEC ION 0 MECH FINAL
COMMENTS: f~ 9 ~ ~
/Jr. ~'
,,\J_~, '."/41
- .
(If/MR- ~
ell":' /30 '1
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'ria1 WORK SATISFACTORY, PROCEED
b . CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,_" ~. Qwne,lCo""
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!