HomeMy WebLinkAboutBuilding Permit 01-0342
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec' d
L White File
2_ Pink City
3_ Yellow Applicant
l.{-'20'2oo{
I PERMIT NO. 0/-0342-1
I
ll'\.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
( ."'''t
\..1S"'S'b
~ i' l"V'o~Ows. k:
\4. \A.M.""-.'I\c. b.~
(Address)
(phone) -
q 'iJ ~ ~:n- 'in I
-
T,..L
BUILDER
(Name) t-Mo..N0ve.- e ~I\.s. +--
(Contact Name) =!<'1M R. ~""f'4l.........._
(Address) L-1.C)....'t cs- GNJ\..'~ W0c9cQ ~.r
(Phone) crS'}-'-I40 - Sl'6f>
(~t (01)..-1'10 -710'6
o New Construction
TYPE OF WORK
J!1Beck
ORe-Siding
DLower Level Finish
o Fireplace
PROJECfCOST/VALUE (exc1udingland) $
o Misc.
DPorch
DAddition
ORe-Roofing
DAlteration
DUtility Connection
Jr X r )<!!2-
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 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
enter u on the pro erty 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 $
$
mes Your Building Permit When Approved
C(-?o -7/)01
Date
4'"i'>~l
Contractor's License No.
Lt - DlC>--C> I
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 Mt.J.G.D .,.. L3. 0 I $ /~z. 46
I~~
I Paid /~Z ~
Date -~ -0/
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 an inspeetions (952) 447-9850, fax (952) 447-4245
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DI-03t2-
Th.. C..nltr of lh.. I..k.. <.'ounlty
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
CO SO--<-- O'~ (~-.J!.
APPLICATION RECEIVED
L/-2~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l.( ~~ (.)
~
Accepted
Accepted With Corrections
Denied --V-' L ~
Reviewed: 1?t..:k/r' Date:
Cf7I11ments:
~Jz ~ Po.c\Cfu-L--,-?:;J 00 ~
L( - 20 - 2k?~4
"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
SITE ADDRESS ~S50 I-fOWlMI'\} bl't-of. 11-
TYPE OF WORK ^ ) f? /, \ Chrk
USE OF BUILDING . ~ .5\ElJ
PERMIT NO. 0; 0 34-2... ~TE ISSUED </-. 20 .a.r-
BUILDER Ca.~,. rlJ. o. c,..,
NOTE: THIS IS NOT A PERMIT FOR ~NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I -g .\)~ r:5t;t 0 l
PLACE NO CONCRETE UNTIL ABOVE HAS B~GNED
I~ I I
I ANAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
- .
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5-1!- () /
/ u; .30
ADDRESS
4650 HtJI1ft1/N&j6/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- Ci3+z..
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL pe:a=-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE R/
o FIREPLACE FINAL
o GASL/NE AIR TST
o
COMMENTS: ~ ~
~ ~AT/SFACTORY, PROCEED
o CORR N AND PROCEED
o CO RECT W OR REINSPECT/ON BEFORE COVERING
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
INSNOTl