HomeMy WebLinkAboutBldg Permit 01-0576
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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LEGAL DESCRIPTION (office use only)
LOT (, BLOCK Z. ADDITION KN 013 /I I t..- t- 2 NO
OWNER \J ~
(Name) --.11 1:U..-~ 12. k~
(Address) L\ lo \ ~ \t ,,^^ __ """"_ In J:Xh
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BUILDER
(Name)
(Contact Name)
(Address)
IJ\ .4-
TYPE OF WORK
o Mise,
~o~~
ZONING (office use)
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PID 25-339- 007-0
(Phone) <162- rl~'?,.- oS<la
95Z-., "2.-- S85S"
l"LA.n.. f.J'i..
(Phone)
(Phone)
o New Construction
DOeck
)'(PorCh
DAddition
OAlteration
ORe-Siding
DUtility Connection
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 clesignee may
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.r. "r{ ~ Signature Contractor's License No. . Date
Permit Valuation
Permit Fee
I Plan Check Fee
\ State Surcharge
I Penalty
\ Plumbing Permit Fee
J Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ORe-Roofing
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
$
$
$
$
$
$
$
$
C..rrr, .ACZ>
ILC:;.2'~
el.41
~.lX)
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
J Builder's Deposit
Other aU7}e{eA-t.-
TOTALDUEMtUV ~'/2..~1
A plica . on Becomes Your Building Permit When Approved
('-f.e,-~I
I Paid
I Date
QLIU, ~
1,,- 1~-6-1
Date
#
#
#
#
$
$
$
$
$
$
$
$ /. t) (J
$ 2-/0. hb
I ReceiPt No:... ~ '1_K /0
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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
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7-.A----~annrng Director Date Special Conditions, ifany l'
24 hour notice fnr all inspectinns (952) 447-9850, fax (952) 447-4245
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White - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<'-I / / _:': ;1/, j- / / / / / · ('/ I '/ /<L./ 1 k...
f
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~i<!./ ::;;;-""'................ ~ ~
c,!mA:~t:: ~l< / -
-IsW'WeJ ~ {Yf:Y~ ~l;~1kiA .4~ 1}~1)
Date:
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"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
B!JILDING AND INSPECTION
SITEADDRESS ~13 8ulMlM.l,^".\b~ ~
NATURE OF WORK ~...k v
.-
USE OF BUILDING SF C)
PERMIT NO. 0 I. 057" DATE ISSUED G, - Co' 2001
CONTRACTOR "'Rnl Rpt s PHONE 9s 2.,- q'7~ -5~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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I 1'\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INIlf'ECTOR
rlt<
OATE
I FOOTING
FRAMING
INSULATION
ELECTRICAL
'?-...D/1.A4I
{
7)~jD ,
,
~EATING (if reEluiredp
FIREPL.ACE-
Gt.c ~INE A.IR :rE~T ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A
.
9/~flt?1
BUILDING
ELECTRICAL
J;0
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 hava baen 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 (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9p~/ Cj~ sa
OWNER
~(,13 ~W
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
0/- ~7L
o FOOTING
o FOUNDATION
o FRAMING ((j)
o INSULATION
)a:lFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SE R HOOKUP
o PL BING FINAL
o M H FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~
fI:- ~ ~
l)d WORK SATISFACTORY, PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Conte
CALL 44T-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ