HomeMy WebLinkAboutBuilding Permit 01-0456
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvpc:,. or orint and sien at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
L<:lT 4- BLOCK '- ADDITION ~..... \\..... ."...J.
OWNER
(Name)
(Address)
BUILDER \' '\ \ ~ \"'
(Name) \.-.l.:::ac,,^",~ , . -~ .
(Contact Nam;) -6~\.. \~___\..I..
(Address) ~ '7, C> 4,.
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D New Construction
Date Rec'd
I. White File
2. Pink City
3. Yellow Applicant
ZONING (o_use)
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(phone)
01d-RoOfing
ORe-Siding
OUtility Connection
ishe inti ation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
ti d t'A~l"_.J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
building _.. revo this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ede .
(Phone) "\ ~ 'l. - se. g, - c- eo Cc Ceo
(phoneLkl'l. -?loo~- '{S~b
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~eck ...
~ireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ . \'i:..- - -
/ "(
! /- '"
~ture ~
~ermit Valuation /
("~'ch ~. .....- .:~
I Permit Fee . $ 19S: 7 c;- I
I Plan Check Fee $ PJI . 4 l I
I State Surcharge $ .7.00
I Penalty $
I Plumbing Permit Fee $ L(() .OCJ
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permir Fee $ t,f). 0 {..)
/1
..ti es Your Building Permit When Approved
'S-((-?~
Date
\l.A,
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
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C""'_ ~~ ._nJ
I Paid
I Date
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#
#
#
'S;- ~-D\
Date
$
$
$
$
$
$
$
$
$ 2..89. h h
2-7
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. 'Ibis document .
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to .________._. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
~~
D\-olf<0
Tht ('''nltr of Iht Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT p~ ~
APPLICATION RECEIVED 5-?? -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
dO S"7 I) /e..WGre5-(--{l~; r
Accepted ~_
Denied (
Reviewed :
Accepted With Corrections
fl--
Date:
5-/1- zco(
Comments:
~eo.J +I^ 0 Low.er L.e.~ ~~\A~l
~~ F"lMJ f? eera-ec.e ~~ ~
. o.-cR d.ecl'"1 ~. .09. ~
rrl~lA
"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 .
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..s.
NATURE OF WORK f)pr(.
USE OF BUILDING S rn
PERMIT NO. OI-()4--..,5h DATE ISSUED ~-II- 2.,o.t
CONTRACTOR ~~ PHONE-U.12-~-l{A~~
NOTS: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r~~ .
. 1___. J-Pr t "AL-o r J..: ~
INSPECTOR
DATE
I FOOTING Ce.c.k.
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
.
.
.
~:SAU~:~ON \~:\ (~\O~):\
ELECTRICAL \' \ II
PLUMBING II-, I~Obt (. Ill. DC
HEATING (if required) 1:, '8~~ ' , I) (
FIREPLACE " I \. lD ~ O(
GAS LINE AIR TEST 1..J (JAAu rJ,,( b\
COVER NO WORK UNTIL ABOVE 'HAS BEEN SIGNED
I I
FINALS
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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~~\~
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OCCUpy UNTIL ABOVE (HAS
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.
to)~q DI
l
1t.!;2Q]O{
4
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447.9850