HomeMy WebLinkAboutBldg Permit 01-1362
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/2-/3 /PI
I PERMIT NO.tJl- /3 VI Z- I
ZONING (office use)
Pu.o
() V 61ef.,OO J<:-, (!"t 12 ~
LEGAL DESCRIPTION (office use only)
LOT/Z,BLOCK I ADDITION ~lttI~ elOIiH!5 s-q
PID ZS-33S .. (J
(phone) (r..Q) l.JLf7-dJlc(P
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Deck
OPorch
ORe-Roofing
OAlteration
ORe-Siding
clJ Misc.
o New Construction
~ower Level Finish
.3 ~.
PROJECT COST IV ALUE (excluding land) S
o Fireplace
OAddition
OUtility Connection
I qereby 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 pi I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u e p to perform needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
tJ.()l)
omes Your Building Permit When Approved
J2 - 4-01
Date
Contractor's License No.
IZ-?-ol
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 I' AU$O rz, r- ..6 , $ //(A.2S
I Paid /1~' ~
Date' _ ""n I
,
I ~ -f#I"7J
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
The een... of the take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S()f-//1N:z,6 N I3AC!H
/2 - 3-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
554-0 OV6~L-O()1<- C//G~~6
~
Accepted
Accepted With Corrections
r
Denied -:J 0
Reviewed BY:~ ~ ~
r
Comments: JZeflP 77-IB LolA/DR- L-6V60
,:/ IV If tf HfrNO OU-r-
-
Date: ~- t{ -01
.
~
liThe 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. II
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 55 +0 0 VE/C fA)()!<- ~/,e ~G6
NATURE OF WORK L-OWEK.. L"EV5t-.--
USE OF BUILDING -mS 41 e
PERMIT NO. /J/- ~Z- DATE ISSUED .$::Jz.-l{-o/
CONTRACTOR 5CYiA;1/r:.EN Br:JCI-I PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I I
'_I I
PLACE NO CONC UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
~
,
\/\
L\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
DATE TIME
SCHEDULED '7- ({-;;L.. I (J 30
SSLfo ou:::.r!o-CJk ct ~
CONTR.
PHONE NO.
PERMIT NO.
{-'a~
o FOOTING
o FOUNDATION
o FRAMING (!J
o INSULATION
FINAL
4 SITE INSPE
i COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
QI PLUMBING FINA~)
~ MECH FINAL VL5../
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
{J~~ ~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'''pectoe ~ Owne,lConle
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI