HomeMy WebLinkAboutBuilding Permit #01-1291
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C\TY OF PR\OR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS I~~ (,~ lft:us ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
rJ:h-
TIME
I - Ie.. C((
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ G~WE AIR TST
(jo~ +A ~
l'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
T RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~3~~
9iJc-
OWNER
CONTR.
DATE TIME
f';o,ft L
L
9/30
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
11-0 INSULATION
rl ~ FINAL ~~ot t
o SITE INSP~TI(m
o PLUMBING RI
o MECH RI
o WATER HOOKUP
11- 0 SEWER HOOKUP
D K PLUMBING FINAL
Pr-?f. MECH FINAL
COMMENTS:
"1- I z. q I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector: ~
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 j,__ ....._~_
I"~..~'---~
Date Rec' d
I D-~:-61
i F~~~w ~i~licant I PERMIT NO'10t-lZ~ I J
. ZONING (office use)
Co2. _) effev2-~ ?ac;:,~
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK'O ADDITION
,
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E7q ~ '- C\2.€:;."S\
PID ZJS"':;
I OWNER
(Name)
(Address)
(Phone)
BUILDER /\ r. ~ ' I
(Name) ~o\\ .Q.- L:"\ ';--wm-( S
(Contact Name) f~(e.., 9 rY\bt;;::;)...
(Address)
(Phone) g52..: 4laQ - ~OO
(Phone) J{) \1..-- tcf6t;.3 LDCL-
la\U\/d~ 5C'O~
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
OAddition
OAlteration
o Fireplace
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
-
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
sub plan am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or designee may
ter upo It}; perform needed inspections_
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Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
\ Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ /6 Oa
Mechanical Permit Fee $ lee; . 00
Sewer & Water Permit Fee $ 3'5" . "::>-0
Gas Fireplace Permit Fee $ "eo
Water Meter Siz 51 '; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
Your Building Permit When Approved
I Paid q~~~ 02>
Date - '7-0 I
)1-8 - (:)1
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
~~eendSigned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to col1= Bef~e occupancy, a Certificate of Occupancy must be
_I;i/~/O ( ~ ~~ ~9 C~~~.;-
Planning Director Date Speciill Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
lh, e,nl.. nr Ih, ...k, C~~~l..y"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~OlLs~t; C,'T't H1lt1s5
10-25-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~FFSRS PASS.
l-31 83., REqAL-GI~
Acc~pted With Corrections
Accepted
><
, ~ "
Denied
Reviewed By:
)/ff8
Date:
I J-;) 7-dl
!f)~/i1 h'/(
Comments:" . "See Reverse Side-for Additional'lnformation!
Dr;"'w"y~ - mll~+ h4f/~ (;t)/)~. .41'1411 ~()M I/()J I-c
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See Attachments: 1) Grading Plan I 2) Erosion Control Measures
3) Erosion Control Plan
"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."
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