HomeMy WebLinkAboutBldg Permit 01-1120
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
tf-:J5- I
- 112-0 I
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.
(Please type or print and sign at bottom)
ADDRESS
TJ--
Jt-A//Va
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j r. _ J~_. " j / ~ J } -- c?d o...,;~
~.~ PIDdS-GX't-0070
(Phone) h(.J.-:J.l/:;2--/tJ?a-
LEGAL DESCRIPTION (office use only)
LOT qcl-'~OCK I ADDITION AI/AA:/..
/)~
.
OWNER /" ~
(Name) c:::r /J 0/
(Address) ~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Deck
Ol?orch
OAddition
ORe-~oofing
ORe-Siding
O . o Lower Level Finish
, . ~Jud Gr~
I 1 -
o Fireplace
OAlteration
OUtiIity Connection
~ROJECT COST /V ALUE (excluding land) $
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
.utl,on"'- ~ lb, "" .bov~m'uti~d prop"", md that .n ,oo,troctioo will '00_ to 011 <xUting ,t", md locol Ia." "'" will """",d m """""'" with
submitted pia 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
;ter upon th ~;;;;o perD.ne7M J/ 2- ~ /:J-of) r
. II Signaturt" Contractor's License No. / Uate ,-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee _
~ / } /1 (/
l~. ]::-::;:'28;;;
Building 0 Date
I
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
ITOTALDUE~~LJ 10.9-01
$
$
$
$
$
$
$
$
$ 351 . 2(P
J~,~.Of2
2;"q . 7<:-
- -
I g I~ . fl ,
~ . (!)O
$
$
$
$
$
$
$
$
~;ceZ:;o. J3 ~ cj ()
U
.
.~ ~ I~ d-!a
(1)-10- 0 I
I Paid
I 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
tfJ/DLtll9 \ 4e~1 ~,,(/~al.oc.n d.J~ ~f' rh.
a e · ~tlons, I any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.--
~~
White - Building
Canary - Engineering
Pink - Planning
The ('en I.. nr the Lok. Cnunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT GJ-a-rt I N etJ kL:/
I
APPLICATION RECEIVED c;-d_ S--o)
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/foG 1/ ~~ / y-
X
Accepted
Accepted With Corrections
Denied n)/J'----/-
Reviewed B~?7f0.~
Date:
7~Z9 ..?oo/
Comments:
~ GC)~ ~~-\-~ ~ \o-Q~~ .QXccd.A1Tc)A,
~ (PS I - qScf - fJOD'2-
"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. Cml., nf th. Like Cnunlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,,--..
NAME OF APPLICANT (-1) r l /
I
APPLICATION RECEIVED /-
,,~
,
// .~,'.
A/I( (...-/
,'" -/.)J.
) \/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ..
,,' I
1/
i
J < /'
:f//j~ (j
y
Accepted
~
Accepted With Corrections
Denied -r-:.
Reviewed BY:~ ~~~~.JI_
Comments:
Date: ----'D/l/ tcll
(~J/c:$-. Jv~ ~J~'I.
'1.n P~~~'i ~ ~w~~l w,aLtJ .
~ ~ 2-'-1 A- ~'
~~ p;-~t--lA.i.-.e. t- 'i1'IJf< ')
~if~~
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liThe 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. Permifs
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
/
."
Th. ('.n'ff nr lh. Lib Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DefARTMENT CHECKUSI
NAME OF APPLICANT
Q a}-I I
(
APPLICATION RECEIVED
The Building. Engineering. and Planning Departments have reviewed the building permit
application for construction _activity which is proposed at:
/foro II AA/Mi'A ~ -/}-
/ '
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
A#)B
Date:
/o-g-Of
Comments:
...
See Reverse Side for Additional Information!
,
Df" I' V r.. "'It;" ~ 1M //!,f t,,,, v--(.
r -rr/l(,.. ,41J~{)Y\ f'"OM S,'J~~ I K. rJ-o -I't:>~d
.
~ee Attachments: 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
DEPARTMENT OF
BlJlLDING AND INSPECTION
SITE ADDRESS JL11' A VlfllU,. <-, t-.
NATURE OF WORK ~
USE OF BUILDING D2~ (?r,>o.of-
PERMIT NO. .. 0/- //2.0 DATE ISSUED
CONTRACTOR st~ YI \<Q... PHONE ~1'2""~4d - J f)~ ')
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1///7/1>/
.
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.,)L I fh- ",SPECTOO
DATE
I FOOTING
j
FRAMING
INSULATION
ELECTRICAL
t!h,
Izfz%l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
WfP
\ -
0/"2 G,
--
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 pl~ced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/(~ul(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
....~ULATION
~~~AL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 4-7(,-
J1VlIAA. ~
CONTR.
PERMIT NO.
Of - L1..W
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~.
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC OR LL FOR REINSPECTION BEFORE COVERING
Inspecto
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-~~
ADDRESS
t~// AI?J1c, wi
OWNER
CONTR.
PHONE NO.
PERMIT NO.
rY/- //20
o FOOTING
o FOUNDATION
o FRAMING
JJ )NSULA TION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
( I"~ 0/',( /) /JrOi.I' '1 I v\
I
..f}
/"VV
. \ ,0::::> _J
U-
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:4'tr ~ .~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI