HomeMy WebLinkAboutBuilding Permit 01-0410
). White File
2. Pink City
3. Yellow Applicant
sjf7~'d
I PERMIT NO. 0/-04-/0 I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please e or . t and s. at bottom
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOTo/BLOCK ~ ADDITION ~-.,.tiCI;z.ICl&.E ~~PID 'ls'.t"4-t>IO--o
/e. JCI/C?e~A-OCK (Phone) 9s)..- '$I.y7-~~d7
(Address)
BUILDER ~ A .- I!:'
(Name) ,J"'''CJ
(Contact Name)
(Address)
(phone) 9;) ~ -'o/~ 7- ~"'4'1
(phone) C"", <.".}... 7<: ~ -7/-;
o New Construction
ORe-Siding
TYPE OF WORK
ODed
o Fireplace
OLower Level Finish
OPorch
I(Addition
ORe-Roofing
OAlteration
OUtility Connection
PROJEcrCOSTIVALUE (exc1udingland) S ; D. ." .__
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 property 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
enter upon the property to perform needed inspections. ./
X ~~.--<-./_~
Signature Contractor's License No. Date
Pennit Valuation
Pennit Fee $
Plan Check Fee $
State Surcharge $
P~~ty $
Plumbing Permit Fee $
Mechani~ Pennit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Pennit Fee $
mes Your Building Permit When Approved
t;"3-~(
Date
.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer IW ater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other .~ $
TOTAL DUE ~ _4 _~;,-, $.s~O. Of,
I Paid 5~'Ob
Date 5- -0)
I ~;,eifio'f q t;5 r'
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
:.u~hen signed by the City PlanD", constitutes a teml'O''''Y Certificate of Zoning complian~ and allows con'trU~n to ;;::n~. Befbre occupancy, a Certificate of Occupancy must be
<i'~<?~-~ ?:;(S/t9/ ~~~k~~~
. . ning Director Date Special Conditions, if any
24 hour notice Cor all inspections (952) 447-9850, Cox (952) 4474245 0
~
01-04-10
Th. ('..nl..r of Ih.. La"" Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7)~ V} 'j eXhoelO rr:.t::l:-
APPLICATION RECEIVED ~ -I-ZJI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l/j?f/;- h~~u/~~r
Accepted
Accepted With Corrections --<.
Denied ~~
Reviewed : ~
Comments:
~
Date: 5'-~'~1
I. upJ",-i. ~,^^~b d)o:\..e~
2. All ~~~ I~OIA. ~ lo...1.J....
rn~ c.(Jt~~
w.ul- ~ ~ocJCJ t=~ M
"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..("..nlt'rofth..l.abCountry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _~Dd VI / ~)ChU{-A) rC-LL
APPLICATION RECEIVED ,:!j -/-01
-.. ~..<
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//7' '''/ I. _-l - /'-+-
//lrrp- (,/)y~ !//eILJ( ~I
Accepted V- Accepted With Corrections
Denied
Reviewed By: ~cr'kk:'-<' r-.-
Date: ~/3 /6)1
C>
"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
Tht' C.nlt'. of Ih. Lak. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Yd!//) ,5chOC' fL} TC)::j::_
APPLICATION RECEIVED c9 -/-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
118ft - .It Jrd-l;/etu C!-t-
.X
Accepted With Corrections
Accepted
Denied
Reviewed By:
IJ/I9: i3 .
Date: S--2.-0j
Comments: See Reverse Side for Additional Information!
8~e Auachments: 1) Grading Plan, 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."
PRIOR LAKE,
INSPECTION RECORD
~~J/~l~~
USE OF BUILDING g r--D
PERMIT NO. IJl-04~O DATE ISSUED j-s-Za1r
CONTRACTOR ~C;-('}~ v.~ ,.t<. 14'1- tI"rO r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS f7a 'U D
NATURE OF WORK
INSPECTOR
FOOTING R . 0 ~ ()
,
FOUNDATION (Prior to Backfill) (p ~ ~ \. V .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
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, 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
ADDRESS ~~~
OWNER
DATE TIME
SCHEDULED ~~~~
,
W,,()jr./-'~ ~ L~
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
IJ...ANAL
.PO SITE INSPECTION
COMMENTS:
o PLUMBING RJ
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t!P/ - '7'"/"
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fZ'
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WORK SATISFACTORY, PROCEED
ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR NSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L/~72.D
ADDRESS / 7 29~ w f.X:!rd v /eiv C T
OWNER
CONTR.
PERMIT NO.
PHONE NO.
61- 'I/o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOiIup
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
{,.. re. 'trfe cr t '--
~ WORK SATISFACTORY, PROCEED
L 0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~~ _ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSON.H HEALTH I< SAFETY!
-.,