HomeMy WebLinkAboutBuilding Permit 01-0384
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- -2..3 ;6/
I. White File
2. Pink City
3. Yellow Applicant
ZONING (ol!ice use)
PUD
(Please !We or orint and si2Il at bottom)
ADDRESS
~o~Cc
vJ~ lc5b ei'c09L ('" l-.
LEGAL DESCRIPTION (office use only)
L01I3 BLOCK I
ADDITION STE-12..L..I...IGl tJOe:n+ @., --Q..lr; WIL.D5 PID Z5. .303-013- 0
I
OWNER
(Name)
~
:30~~
Ahl'cVhS
W~rJ
,
(Phone) 5<'.:J. - d- ~ '3 - ~~
(Address)
Q.';~-
frl-
BUILDER
(Name) t_'^- <;.,o,J\L;),h.
(Contact Name) 0f)h"
(Address) Lf~ ~
('...01\ ').J-
e ~c\f\.&)~
G(b".,^~ C.,
(Phone) Cff'i}.-- 4'10 - 5'1 g9
(phone1, (i>{tJ., 940 - 71 C) 6
, TYPE OF WORK
o New ConsblIction
j4peck
o Fireplace
OPorch
OAddition
ORe-Reofing
ORe-Siding
OLower Level Finish
o Misc.
PROJECTCOST/VALUE (excluding land) S
OAlteration OUtility C___~_n
(). <0cX> ~
I hereby certifY that I have furnished information on this application which is to the best of my knowledge hUe and rorrect. I also certifY that I am the owner or
authorized agent for the above-mentioned r-~r---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. f_..:....._.ore, I hereby agree that the city official or a designee may
;ternpO~~)2~~~ctions 40~( 4-A-~-O'
Signature Contractor's License No. Date
I Permit Valuation 2.~ .,<r) I Park Support Fee # $
I Permit Fee $ (,,1( . '2.') SAC # $
I Plan Check Fee $ qC; . {} I Water Meter Size 5/8"; I"; $
I State Surcharge $ I . 00 Pressure Reducer $
I Penally $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I ~W&~ $ /'/..'~ Z/-
Gas Fireplace Permit Fee $ I TOTAL DUE .r-.'7-/I' /,..J. lP
(:hi;;i~Y-""':::::
, ~~gJlffiC1a1 Date
1
I Paid
I Date
/IS: Uo
c--q.I1'
, ,
, '
I ReceiOVt:
Bv /
/
3r~5
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 _w..~r"_w. , a Certificate of Occupancy must be
~(\_ d~~ .sJ9'\/o1 ~~(~~C'.~~
~~ranning Director Date Special Conditions, if any
24 hour notice for all inspeetions (952) 447-9850. fax (952) 447-4245
-...,
/
White - Building
Canary - Engineering
Pink - Planning
Th~ ('~nl~r of lh~ Lab ('ounny
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(/1.5;-/ Nt VA
4- 23- C/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~3 62 (c. iV If-V::;' K/LJqG: CO u;.::../
Accepted
t/'
Accepted With Corrections
.
Denied
Reviewed By: c;1~J~
cO~~J ~ ('\e.Ll<
W~h9Y1.
Date:
Lf)Jo!01
t
.,
.t
"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 c~nceL the provisions of this code or other
ordinances .of the jurisdiction shall not be valid."
~~
..
"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~?l"p L..l;tl'i.s ~..t..""'G j
- I
TYPE OF WORK D.,.. f '-
USE OF BUILDING C,F A
PERMIT NO. 01- o3PJ4- DATE ISSUED q. u,- ?J1Jo(
BUILDER -.Cc.<,~~ ~J2. (,12-'7'0 . 7/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ?ATE
, FOOTING I 1;_~n..uu I 5)/5'101
PLACE NO CONCRETE UNTIL ABOVE HAS BEENISIGNED
~ I I
.
"
I .
KiA S~8./Il')
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
I FINAL
.'\
ADDRESS
30d-ro
DATE nME
SCHEDULED 5; 1'6-0/ r?:: ~~
/-LJ/t./S R,\Jq~!'b~'
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
rvl- :<,~L/
,
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATIAN I 0 SEWER HOOKUP
.,i!I""IoJNAL {/ ec:.., 0 PLUMBING FINAL
o SITE INSPECTION 0 MEcH FINAL
COMMENTS: ~~ 'PA~
/
/ WORK SATISFAl',1 1RY. PROCEED
o CORRECT~C~' 'NO PROCEED
o CORRECT t , ( ALL FOR REINSPECTION BEFORE COVERING
,(~.""""
Inspectnr: : '\ Owner/Contr:
~
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS Al/E FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI