HomeMy WebLinkAboutBUILDING PERMIT #03-0010
Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sig;n at bottom)
ADDRESS
, 61( 7 p" )t:l Po ... )
LEGAL DESCRIPTION (office use only)
LOT; BLOCK Z
OWNER
(Name)
-go L -t 5' A II..,
- ,
(Address)
SA'"
I. White File
2. Pink City
J. YeHow Applicant
PERMIT NO 03 .,. COIf)
ADDITION
~k/~"J (Jilf1L-c-'
3~&1
fhy rf (.~
(Phone)
BUILDER.. ,I fIt' / / f, ,. ....r-
(Name) VI? lA-) A.] f-(ON I"li\&. '-'] ...{N ~
(Contact N ame) --r;~- Jvv, c:/ (
(Address) 17~~ 6 s:."",.-t; ~ el, (Il...u""-' /4 /c.L-
TYPE OF WORK
o Misc.
o New Construction
DDeck
(Phone)
(Phone)
o Porch
ORe-Roofing
~Iteration
ZONING (office use)
I<!./ ~ 0
PIDZS-/37- 004-0
'fr1 - Jr 3'1
6/.]- To /1- )7,1'7
50, OeO .-
.
~~
, .
ORe-Siding
OUtility 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terupon~.;oPci~V nee~dinspections. ~OJ~;" Tt Iv/ I RJOL
/ Signature Contractor's License No. . Da&
r Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
w..ddition
$
$
$
$
$
$
$
$
tfzo,()()O.OO I
03 rl. 2-S .1
'2oB,el-
10. DB.
40, cJo
This Application Becomes Your Building Permit When Approved
~~~~
Building Official
/~!U4-z.-
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
lather
!TOTALDUE t~
,
$
$
$
$
$
$
$
$
IZ-Z,1- 02..$ S80. Db
I Paid
I Date
#
#
#
#
Receipt No.
By
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 consti tes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~
Planning Director
/~b;'~ L- /&.od2 ~c~t::;::-~ ~ ,
24 hour notice for all inspections (952) 447-9850, tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~)
(White - Buiidi~
l..ancll Y - ':lIy;~g
Pink - Planning
The Ctnltr of the l..kt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT VA 1..,,1./2, Y B/....D~. f CONTRA LI r Nc,
APPLICATION RECEIVED IZ-I ~ - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&; 04-1 RLJSI I C..- ROAD
I
Accepted With Corrections /'
Accepted
Denied
~ ~ Date: 1X.M~z--
~ AJ-J~~ ~/~~J ~- P
. ' ; , ,
a:r/~ ~ '
Reviewed By:
Comments:
"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
White - Building
Canary - Engineering
( Pink - PlanninD
Tht> Ct>n'er of tht> Lakt ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT V ALL. E V l, L 00. ( [( 1'0 I_A en t-.J0
APPLICATION RECEIVED I L - I i: - C 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G (c 4-7 ! '- . ~--T' L. 1-( (/ P-, [)
I
/'
Accepted
Accepted With Corrections
Denied
~~~
~ a-LI
, -
Date: dtl.lf-'2./
,
~
Reviewed By:
Comments:
"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
stlS. i2aAO
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING .~ .
PERMIT NO. 03 - 0010 .. DATE ISSUED a.
CONTRACTOR ~~\. ~ Calf. ~ PHONE ,. -3't67
NOTE: THIS IS NOT A PERMit F6R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
~, I-~ 1//3/03
.
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
(3) I
L.,I- Zq I
J
FRAMING
INSULATION
ELECTRICAL
t1r
~;1f
J-Jl,
'1- ("!r0'7
EATING (if required) .
FIREPLACE
GAS LINE AIR TEST
yyp
J1/
~
-:]-1 2.
:3 - /1..,
'J- I)..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
7?l/~
/&
....
OCCUPY UNTIL ABOVE HAS
NOTICE
b/3!~
[~
td31D3
~!3It/)
BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~ t 3 Le3
ADDRESS ido L{ 7 a.. U-~~ L (' v<cl
PHONE NO.
CONTR.
PERMIT NO. 0.5 - t C9 .+ b7 t.-(
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I. ~ FINAL
,.. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
h ~PLUMBING FINAL
A.. ~ MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR T.>> .
~~L
COMMENTS:
( ~Y1-P ;
-
f\ L€-~
~ 0'"5-67't
" 3 - lO
~ORK SATISFACTORY. PROCEED
o CORRECT ACT/ON AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector:
9\r
Owner/Contr:
CALL 447-9850 FQR TH~ NEX,T IN~PECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I/VSIiOTl