HomeMy WebLinkAboutBuilding Permit 03-0143
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
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3ZZ/
L'NO~ CcfL
LEGAL DESCRL.t'uON (office use only)
3)4.1;; \
LOT BLOCK ADDITION
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/-/(,-03
PERMIT NO. O:?-O/43
NAe. W'L L 6&iJ
OWNER
(Name) "-~e.. y
L~~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
ZONING (office use)
J€,/S.o
PIDz,5"-235- 004--0
(Phone) 6 S l.. ) '-1<) -z. - s, 0 <=J
(PhonetLI! (p / z, 4qo . 5l)G7 2-.
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~"--DAr:Nt;"S .
'1(1) 6u~-Pl1 0J.
TYPE OF WORK
[lK.New Construction
DLower Level Finish
o Deck
/>{?orch
~ddition
DAlteration
o Misc,
PROJECT COST IV ALUE (excluding land) $ Z 0> boD
ORe-Roofing
o Fireplace
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 designee may
enter upon ~ property~ needed inspections,
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Signature Contractor's License No, Date
I Permit Valuation
Permit Fee
4/(JOO , () 0
Q7, ).S'
(;),)..1
2,00
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
iillIE:YO~BWMmgP;~;~~d
Building Official Date
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 TOTALDUE~ Z-r...O~
j(/Z.~Y
;? ~ "OJ
I Paid
I Date
#
#
#
#
Recei~o.
By :J", .
o
$
$
$
$
$
$
$
$
$ I fd. _ /H:J
4~e-(P
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
Whenrfili ed b)\ the C' PI ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued,
~ n ~H~)) ~~~~ 5C~ 11o~;cial::iti!:~f~ haVkdou}
v 1 V', 1:; 6eur notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
. ~ - Buildina
rCanary - Engineeri!!95'
Pink - Planning
Thr Cf'nler of thr t.akr Coun.ry
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:
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Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/i'Yff3
Date: 1- 3&-63
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Controll'vkas:ure~
, -=- .,
"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."
"
[ 1
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ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
~ -.'---
. Surface storm water drainage flowing to the perimeter of this lot to and from
adjoining properties must be conveyed to the roadway and/or to the rear of the lot
in drainage swales within the drainage easements.
. All bare soil";areas must be prote<;ted from eroding into neighboring properties
through the property installed-and maintained sil(fence-or bales.' '..
'\
. The silt fence required by the erosion control plan. must be installed pripr to any
earthwork being started. '
. The builder i.s respqnsible for maintaining the erosion contro! measures until the
turf is estab~shed.
. The rock co~sti:uction entrance rimst be installed at the timeofbackfiliing of the
foundation. ,
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Y d.~ ,- Lj Nde lJ ctift ie...
NATURE OF WORK ~Y~h
USE OF BUILDING ~P.D
PERMIT NO. 0 ~ - DATE SSUED
CONTRACTOR 04 .S C::;OAJ~)- PHON"Aa- ~D..SC4.el
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING L.f tJf (fr&t1~5 VUJ 1--wl I
"'-"fJiJJJIIU (f .1_. L I__IJI_ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
......" '--~B" . 8~rT!~
.. ..... .
IV 1 tP
$ -~- '
FRAMING
nJ.M~_-J:rI'll
ELECTRICAL
.... Ul<1II1I&
1.-rI'n JI. l.. . ow~.. -41)
["-rirL.-...
111 - I III J. __ 1ft TI!Jl.-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
anAlllla (If. L. L I_JJI..~
BUILDING
ELECTRICAL
Phi "n.nUl
Illr.JT1J ur
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 placed near main entrance.
-
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>
FOR ALL INSPECTIONS (952) 447-9850
I!
I I
SZCE ULEO S!~ 3:~
I (,
~eK
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
::s~z,1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
O'INSULATION 0 SEWER HOOKUP
~INAL f'P~ 0 PLUMBING FINAL
o SITE INSPECTION A MECH FI,NAL
COMMENTS: T--rJ<5Z6S
. - -
~- I~b
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.
Inspector:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
i 1
"
DATE nIlE
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12-'-O'f
AooRESS ~Uj Lj",.!U/ C/n:jp,
OWNER CONTR, lkl'l~ G,,,t.{..
PHONE NO. PERMIT NO. 0. ~ -/'1 'I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
)(~'~,-LING
DC INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
b;~,h- (9 Y -
-/:}) .1/)
UvO !!,lJ~
~RKSATISFACTORY.PROCEED " 5
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InspectOr.~ _ OwnerfContr.
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
CODE RE(lUIREMENTS ARE FO" YOU" PEIfSONAL HEALm & SAFETY!
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