HomeMy WebLinkAboutBldg Permit 01-1278
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. While File
2. Pink City
3 . Yellow Applicanl
(Please type or print and sil!;ll. at bottom)
ADDRESS
S-~ (p I r:iJ-J /IA-"fJr~ Stltrtte-3 ~I L-
LEGAL DESCRl.t'uON (office use only)
LOT/" BLOCK / ADDITION ~, V~S /b I AOOAl.
PID 2S-~- cu!J...C
1;) I L-'- 1 Ll S p. P p-t,rnefl..... (Phone)
SCI II I f7q-(fLl,.p-vJ# .$"I-Id.cr~ t/2A-cL iU-L-
t .
~;~~urDcm7l ;2t-7U(J V477 oN'S;
(Contact Name) IfII C ~f:rZ.. ....,-g--tL/b1 (Phone)
(Address) Ic{cf~ CWIJJ4. ~ 'SO. 1bl.A-/lrJ~d/~ I tyl/U
OWNER
(Name)
(Address)
(Phone)
~2-1o?-o1/"
951- - qr-{- 2" I.ft,.
~S1~
TYPE OF WORK
o New Construction
~r Level Finish
o Deck
o Porch
o Fireplace
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 bu' ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter~~eed inspections. cf)(J('93~1 11--7-01
/ - I r.. Signature - ~ Contractor's License No. Date
I Permit Valuation LJ,Dnb .CD I Park Support Fee # $
I Permit Fee $ Bt'f . 1.,!) I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ Z.OO I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ l/fJ..OO I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fir lace Permit Fee $ I TOTAL DUE (}At.W D II /9/D I $ /Z,'l.z..s-
/' /J ,
isA v;=-y= uilding Permit When "'Wroved I Paid /2. '9. z.r ~ -!(OOCf
n-a-O\ I Date 1/- '1 ,-01
, , ,
BOO-ding Official 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
when signed by the City Planner constitutes a k.....ov><Jy 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Tht etnl.. nf tht tak< Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ()(/ I L) (Joe /'ZclVOVrJ'1 IONs
APPLICATION RECEIVED / /- 7- 0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S4(t? /
FrJ/R.-L-AWN SHOIG6S /,eAI L-
Accepted
Accepted With Corrections
Denied /l v1. A.
Reviewed By:(dJ~T Date: J/ - 8 -Of
..
Comments: ~ 7J.If3 LdJ w 51Z.. L-.E:IL/5 L-
PI N IsH I-/;t:l/tl 0 /) u~ I
"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 DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5lf1p1 +r:u'r/~ ~ (Jr. ~ .
NATURE OF WORK ~ L~t.V-U- ~ I~ J ~~ .
USE OF BUILDING SF (:) - _ '
PERMIT NO. () / - 12!Jf1J ~ ~ED 1/- 8,0 ( "
CONTRACTOR -L:Jd-~ ~ 'PHONE erS2- cf~/~2i.{tf(,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
_I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
A
h.
r~
1/, ?/Il 1..-
I /1 ~ /D ~
I /I(/()~
I I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
l€'
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/J
/tt}
/l
I7r
'h
OCCUpy UNTIL ABOVE ~H~S
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.
~ .
0//1/07/
(P//'/ldb
&/1#1//
BEEN S(GNED
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
" te/. d l ~ J L-V
54& ( ~ /U.,./TW ~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() 1-11.78
o FOOTING
o FOUNDATION
o FRAMING :@
o INSULA TIO
FINAL
~ SITE lNSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKU"ft
~PLUMBlNG FINAL
~ MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
jJ;
/1-'"'
f!f(~
- ,.. -
~
1
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W3:R CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL 447.985~ OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOrl