HomeMy WebLinkAboutBuilding Permit 00-0925
Date Rec'd
.... CITY 6F PRIOR LAKE BUILDING PERMIT,
D rn @ ftEMPORARY..CERTIFICATE OF ZONING COMPLIANCE
.. AND UTILITY CONNECTION PERMIT
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(Please.!\'Pe or vrin~:-:- -. t...,....::..,:...,~
ADDRESS
,-White File
2. Pink City
J. Yellow Applicant
'1584 I4UMt1I~eII2.D TlL "-IE PR\Oll lA~, H"-I SS:JT2
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK :3 ADDITION KNOB HIU- 3l2..O
OWNER
(Name) aM>." ( De:....,~ MA'tTS::>-!
PID ;a5 - 34-<=1 . 0 I q. 0
(Phone)
CjS'2_405-"2~
o,.......nE 'IS2-a7S-SJ"7
JAddress) "'S~... 1-II.Mt1,..a.BUZt> Tl2...e: P'1Z.1C21.A~1 H'" S531'2
BUILDER
(Name) (Phone)
(Address)
ODeck
TYPE OF WORK
o New Construction
o Fireplace
~Lower Level Finish
o Misc,
2 .J<:.~G.
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection
PROJECT COST /V ALUE (excluding land) $ .;;!., 000. 00
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 y.~y_nJ and that all construction will conform to all existing state and loca11aws 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
:ter upon IhF=~;~'" needed,inspectiOns. ~O/~3/20CO
. , Si~ature Contractor's License No. Date
[ Permit Fee
I Plan Check Fee
Stale Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
[ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
. $
$
$
$
$
$
$
$
(" Z , ZS
1.00
4-0.00
I Park Support Fee
[SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer /
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit /
I Other 5~C- ?e..e/'1/'T'
I ~t,.U;:O 10./".00
TOTAL DUE
'$
$
$
$
$
$
$
$
#
#
#
#
~. on Becots Your Building Permit When Approved
~ I() -~D I Paid JO#.?~ I ReceitJ.,(JJ>, :s~Oc:;-
uildin~fficial Date, I Dale /11. /9. r)O Bv Aft
'j
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ~y 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 an inspections (952) 447-9850, fax (952) 447-4245
Oo.oq~5"'
Thr ('..nit'. of Ih.. Lak.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
HA I f .50tJ, G,rllev
. f
/0.13. 00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4564- HUHi1/;I~ 811<D II< tJE:
,
Accepted Y-
Accepted With Corrections
Denied ();f;J d
Reviewed By: ~"'_ _ .
Date: /tJ-/(p- 2~
kJt~ '~.
-
.f- [:'.... -~^ ~._ ~/7
"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,"
Th~ C~nln of Ih~ L.h C:ounlry
....-
( / l (I ~ I )
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
// /-/ I I !:::((,j, r::;1-1 k' V
I ,
/(./3'60
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45f4- II ( JC/ N / /II 0 {:; / 1<;) 71<- N E
,
r ". /
Accepted Accepted With Corrections
t Denied
,
Reviewed By:.. '
v
~-
Date:
.'.'. I
,"'- ; 'J
,
Comments:
,~
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"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
SITEADDRESS i158Y Utlw\IN'l'\A.:.-klr-d It-
NATURE OF WORK G.-~ ~IV\ KCI.~..;{ r.-".3)J......
USE OF BUILDING .~pb
PERMIT NO. {)().()q2~ DATE ISSUED /0./".00
CONTRACTOR M~I ~ . - 1-/, <./03' <., S-~ .
- ~ W,Z7~-S~o,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTOR
DATE
I
) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~\) ~I {^r'
I '1, \1 ;;; \ \0 t
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.1 '1)'\1 .Skl\d\
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1-
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J
)
Ii. 1/?/6'l-
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy
I
I A2 } /-3~4
I /114" . I I / / v
UNTIL. ABOVE ..rAS BEEN 'SIGNED
NOTICE
I
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 (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.<j 5!"J../
~..
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION tp)
o FRAMING
o INSULATION
FINAL
,gJ SITE INSPECT 0
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,--
.../1 ,~
'7U<Jv
(lJ'
~
DATE TIME
I/?/()l-
I
. .'~1J..c,J
J
'iln
tJo -9:J-S
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~L FOR REINSPEcTlON BEFORE COVERING
Inspector: ~ ( Owner/Contr:
CALL 447.9850 FO~ {HE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOrJ