HomeMy WebLinkAboutBuilding 04-0002
DATE TIME
CITY OF PRIOR LAKE 2.'flf J O~
INSPECTION NOTICE SCHEDULED
/'10 -H-- I
ADDRESS 51/ D
OWNER CONTR.
PHONE NO. PERMIT NO. 4~a>02-
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
g;INAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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o WORK SATISFACTORY. PROCEED
o CORRE??JT AC N AND PROCEED
o CORREC a . CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~ALL Uo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
59/0 r-/~O
#/3-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION SE0r' 24-
OWNER
(Name)
FdWR"r,..4 11~
571 Ci -~~~.IV IF
G,.e,QlDrv
6' ,
P ~, or J,..q. k~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
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
o New Construction
ODeck
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
This Application Becomes Your Building Permit When Approved
~ ~ /~orAj
Building Official
, Date I
I. White File
2 Pink City
3 Yellow Applicant
(Phone)
/'1Jtt-
(Phone)
(Phone)
OPorch
~on
ORe-Roofing
OAlteration
Date Rec' d
PERMIT NO. ::J),t&.o.,o.~ ~
ZONING (office use)
,4/
PID zs: 924 , 00 f. /
'7;5"J. - Yt,I r~5/.;z.. ~
.
~1lJ - &/2- 7'-fCj-$Jd-L(
$
$
$
$
$
$
$
$
$ '72 Co. 72-
II
Receipt N6. %Zd t'
By A-
O'
#
#
#
#
IZ--A 1. 03
ORe-Siding
OUtility Connection
Date
---
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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
:nhen signed by the City Planner cons~tes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~s~ ~~ 01;>103
Planning Director Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
':'Jftf.PYJ
Paid
Date
'77./& . 77.-
I. '8-') ~
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 i?f~ections.
X ~ 1n .R~_,
SignatUre ~ t1.~
l/j;., 'j, 0 () "It! tJ
$ t./.J! ' "5-
$ ;p <i' f) I S-7 ~
$ J ~ ~O .
$
$
$
$
$
rYfbWL - Buildi'iici)
Canary - Engineering
Pink - Planning
The Cf'nlt'r of Iht l,.kt Counl,.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
G 1&6 G D 10<./ ED ~VA;e.O
) I /)
IZ. /5. ()___l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L5q / 0 /40'771 S' I" ;V c.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: ~ a- "..-f'
,
7~~
~
Date:
/~?~Y'
~,
"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 - En_ ineering
Ct"InK - Plan",n.
The ('f>nlt>f or Ihe t.kt ('ounlr)'
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:
,r-- r-':, / /l / /1 /',) 777
'.--.j I U / <-7- C./
/
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Accepted
Accepted With Corrections
~
Denied
.......
Reviewed By: ~ :j~f2-J
Comments: '11~/.r t='~ ~
~~.
Date: ./c2;/pfJ
~~~
"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
SITE ADDRESS S'IO _ 11"() ti:- J'T: tJ.E I
NATURE OF WORK POL-IE 13"i'()/~4; ~lr"oN" .
USE OF BUILDING ~L~/L."j}4J1f AJ,OfNMJ
PERMIT NO. ~Of. ~{JZ- DATE ISSUED -L2/~/()$.
CONTRACTOR GJU:6~V E4JWlfllb PHONE~/t. .'f'-S'/~'f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~~,CT; 1
FOOTING V v , './
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
. '..';;'
c
I
I I
UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
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11- - SQ,(}l/
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I.
AMING
INSULATION
ELECTRICAL
\ .
I//(l/t' J-
/ //C/dS
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
BUilDING
ECTRICAL
ATING
DO NOT OCCUpy UNTil. ~BOVE 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. -
4-./-I-.()4-- OUP~/(!.r;'7C:; ~
ISJ VeL) FOR ALL INSPECTIONS (952) 447-9850