HomeMy WebLinkAboutBuilding Permit 01-0509
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
01
1. While File
2. Pink City
3. Yellow Applicant
(Please tvD~ or orint and sien at bottom)
ADDRESS
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ZONING (office use)
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AlE.
LEGAL DESCRIPTION (office use only)
LO-r3JaroCK ADDITION I3budJ fIE' /)1aiJO r-
PlrH5 -I/q... 0;;.8-0
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OWNER
(Name)
(phone)
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Nt..
(Address)
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BUIWER
(Nam~\
(Contact Name)
(Address)
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R..lr.V"j <5'1
'f{,;). -"163- "I''1S
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(phone)
(phone)
J)p..
TYPE OF WORK
o New Construction ODeck OPorch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace OAddition ~teration OUti1ity Connection
o Misc. IIJJ wi.vdo/v.lk/eNJ LR.,,- PROJECfCOSTIVALUE (exc1udingland) S J'S/){)-~
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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 e ove~mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted pllllJ'that the building official can revoke this permit for jwt cawe. Furthermore, J hereby agree that the city official or a designee may
enter upon to Qtrform needed inspections.
:f"'<~ .;zoJ:l{,ti'tOt $- /If- 6/
~ Signature Contractor's License No. Date
x
$
$
$
$
$
$
s
$
$ ZS.3. a~
I Pennit Valuation
I PennitFee
I Plan Check Fee
I Slale Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Waler Permit Fee
I Gas ~Iace Pe~t Fee
r } J J
. Ii n om
Park Support Fee
SAC
#
#
?fr-o
J ,~_ "2.S-
. e;~. (,1
ClfjO
$
$
$
$
$
$
$
$
WaterMeter Size 5/8"; ]";
Pressure Reducer
I Sewer/Water Connection Fee #
I WaterTowerFee #
I Builder's Deposit
lather
I TOTALDUE t/llue:D 5-30-0/
~ I
;,},<;-::\ , 'If 6
(,,,-.C:;--(IJ J
I Receipl Nqc-5'1f", -/"7
Bv ~_
our Building Permit When Approved
I Paid
I Date
5=- ''b{~? '_'1
Date
()
~
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
6/!L[~ ~~~BPl~lJ~~:~ \;',wc'~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
lanning Director
j
(H- C)~ 9
Tht' (...nlp. of lh.. L.kt Counlry
White . Building
Canary . Engineering
Pink . Planning
IrulLDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT t...n?;Jz..e-::.-J //1A./1/1./
APPLICATION RECEIVED ;5 - I t( - 0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 7f ~11 J
/ J JrU'~'Ll;/VCL ,7~
I.- ~ () ,/
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Accepted
1/
Accepted With Corrections
Denied _
Reviewed By: ~ ~~
Date:
617S-d:>- (
~C4i~~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 cancel the provisions of this code or other
ordinances of the jurisdiction shaH not be valid."
,.
..
"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITEADDRESS (4l(l'l ~ ~Tr-
TYPE OF WORK _~/I'w:6.0~ d- au~ I. ~
USE OF BUILDING . 'S<F n
PERMIT NO. () I -050Q DATE ISSUED 5"- -Zq-G(
BUILDER M.\::e ~~ u~ q'03-9~?b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABpVE HAS BEEN SIGNED
, FRAMING I ~ I hf!}7!>>,
, FINAL
"
h=r I ~/ {d!OI
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
SCHEDULED ~/Jo/t!)1 /( :3d
,
1. l.:t-~<U.) TJe,
t'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I'I~('J
OWNER
PHONE NO.
CONTR,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI
o MECH FINAL
0/-$"0'1
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-~
)
;<'
.MlWORK SATISFACTORY, PROCEED
( 0- CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-98&0 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
IfVSNQTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/