HomeMy WebLinkAboutBldg Permit 01-1372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/Z-3-0/
(Please type or print and si~ at bottom)
ADDRESS
4/3'-1 LoJclt'AO-o
1. White File
2. Pink City
3 . Yellow Applicant
S -1-. S.E".
LEGAL DESCRIPTION (office use only)
w~1
LOT <i( BLOCK '3 ADDITION
.
L. q K<- S' c\<."
OWNER
(Name)
~()I<- CAt{,-d
Lf, ~ ~ C%re,Ju
~ o..r ~~s
PERMIT NO. ()/-/3 '12-
ZONING (office use)
RI-SO
PID 25-fMb-~33-Z
(Phone) q 5"".:;>.. - 4'-1 c.) -7" f( cr
aU- q.5l-Z00-+'~O
(Address)
S..J-. S e-.
BUILDER
(Name)
(Contact Name)
(Address)
~
Clu;v-d
S4~-<--
TYPE OF WORK
o New Construction
(Phone)
(Phone)
q 5""v ~'to -7 b f g-
OLower Level Finish
ODeck o Porch ORe-Roofing ORe-Siding
o Fireplace ~Addition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ 2-0 DO il.!
o Misc.
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 p."y....~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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru~oP/~ctions.
Signature Contractor's License No. Date
Permit Valuation
';}/(JQO. ~ 0
(Ptt .2S'
45.0 \
I . t::JO
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
:~-
Building Offll..al
l~-4-(!)1
Date
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE tI\~D
I Paid /1 J. 0\.."
I Date I-! -~ 7,,(J I
# $
# $
$
$
# $
# $
$
$
12..-7'0 J $ / /5.2IP
~ Qb1'PiZ---
Jj
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~--."_LL . -_?~--.r \a-/7/L'9t ~ tIa_~~ f~~X~
~or Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'"
~
Th. ("..I.. of lh. Lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CJ:.AJ2.f)1 Df\LS
12-3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-/34- C0LC12f\C)() ~ I BEE I
~
Accepted
Accepted With Corrections
1/2- /7 /<.9 I
com~~~ PA(..-r iA~ aAQ.~
L'iMJ~ -Px-~i.) ~ ~_W ~)~.o
Denied ~ ~
(VI t A _
Reviewed By: . t-~~
Date:
"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
Th. ('mt., of th. Lib Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
APPLICATION RECEIVED
6l:-.8ED I PAl E
12-3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-1 34- WL,.n12ADn b I ~~ I
Accepted
Accepted With Corrections X
Denied _
Reviewed By: (2.Jfl.,A_.
Comments:
-11fJ.a:k sVV\Ok€- d..~J.e~r-.s .\-'^~~ oo~ .\..~ k()~
Date: 12-4-0 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 .!:1.l;r9 ~ St.
NATURE OF WORK ve.~\-~bulo
USE OF BUILDING S'FA
PERMIT NO. (J/- /3'lZ DATE ISSUED V,-- 4 - 01
CONTRACTOR t")a.\~ ~~ PHONE~~- ~ - ~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~. I/t/fto/'lI
I FOUNDATION (Prior to Backfill) I br I I z./ / t/ 1("
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
/h~
flA-,
fit 7fl,Z,
~/31.r~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Nb A
/tZ?-
I~ (~. ~ () "
r:f/ ~.'dtf
~ /z-If!J
'/ .
BUILDING
ELECTRICAL
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, ca!~,$~IJbe placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
D~ L TillE
~;y
#Jf/ a~rq ck \. r~
~
~
ftJ/ J/" <; /
~/CJ...re /7lp
~ORK SATI CTORY, PROCEED -
/h CORRECT ACTION
o CORRECT WOR);")L;;:J' REINSPECTION BEFORE COVERING
Inspector: ~"L I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o J!'SULA TION
Afi:INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ytMENJS: ~. A
rT~C7n~/ .h~/ 4,-,_
../"
~9 /'
/?h~ /
l
./'
CJL'
C/{~
./ ./
~/- / S7.-2...
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/I/' /"
4////0.2
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-----... -.......
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/
/
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Lj /3if CoIor4do G.{.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
;;f~dt.- (/ L
DATE nilE
I-III-or
6(-137;l.
~LUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK 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.
IN8NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/