HomeMy WebLinkAboutBuilding 02-1594
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED
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ADDRESS
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OWNER
CONTR.
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PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /?n4' /1
)iiI FINAL V/(I rt,N'
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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J2fWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~ FOR REINSPECTION BEFORE COVERING
Inspector: r It" Owner/Contr:
. "
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.\
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec" d
4-17-0~)
1. White File
2 Pink City
3. Yellow Applicant
PERMIT NOl1.) -045t.L
ZONING (office use)
{r 121
LEGAL DESCRIPTION (office use only)
LOT '-IBLOCK / ADDITIONI/107~g/l.-- PIDo?5- 330- ocx-/-.()
OWNER-j-) I
(Name). ,,=>V, an
Wa (-en-
-J 1)RJJ;
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
(Phone) Cf 5'.;l- 44D ~ 5704-
fi/(I/!'A5)< qJ/7 - 88'78 (to -:)
(Phone)
(Phone)
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace OAddition I}iaAlteration
PROJECT COST IV ALUE (excluding land) $ '100!i!-
OUtility Connection
o Misc, Ac'),;); +;"..... ~ ~p; -6 L"'~).___
u
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
sUbmltt~~ns, 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
;t~rugz?ei1,pet{)~ef~ec~ns til ,~ / DE
'it' Signature Contractor's License No. Date
v
Permit Valuation !.aDO. 00
Permit Fee $ tfp.S-6
Plan Check Fee $ /7. ZS;-
State Surcharge $ ,SQ
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~
u~
~.>/o 3
Date
Building Official
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit.
lather e/e..c..
I TOTAL DUE
Paid
Date
r~z.-5
4- z ?-O -.r
# $
# $
$
$
# $
# $
$
$ I.(/IJ
$ 4.'?: ZS
11 14-
Receip@(o. ~z.,1
By /(.,
0
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 Ihe City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued,
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
(2) PtANS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
//- 27,tJ2-
(Please type or print and sign at bottom)
ADDRESS
1-4-38
~tJfVDVIe;vV
Date Rec' d
White File I PERMIT NO
Pink City . IfZ -/sq A_
Yellow Applicant (/ ~
'77e,q/ L-
56
ZONING (office use)
KI
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK / ADDITION W/NLJ-S'T7t.e- /1lJOA/
OWNER I 1'\ . -
(Name) 13r LCU1 ... vibc
Wa l-hr
(Address)
BUILDER P,
(Name) S'A-MI:::- As A6oVE.\t
(Contact Name) ~Io..n -flJih; ~
(Address) t./t./3i :Pordvi'ttJlVa.i I 5 E.
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ ~ 5oo~?:2..
o Misc,
PID25- 33(,- 004-0
(Phone)
'15~ -L/t/O -57otJ
(Phone)
(Phone)
q5~ -L/L/O-5.-70tj
oDeck
~Porch
ORe-Roofing
ORe-Siding
oAddition
o Alteration
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 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 ~roperty to perfoneejed i~spectio~, /J A ' ./
x~ a ~\../ ~..j &I~ LA hfrtlA / I J / ;;"'7/ O~
- - Signature Contractor's License No. ' Da~
Permit Valuation 75() (J , 00 I
Permit Fee $ 153,Z5'1
Plan Check Fee $ CJ /", ~I "I
State Surcharge $ '(, () f) 1
Penalty $ I
Plumbing Permit Fee $ I
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
tP~~
Building 6fficial
1.;0~ ft 'Z.-
, Date
Park Support Fee # $
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 ()bA~ I-z,,~, tJ .., Ot.- $Z~? ~
~ J. 0
Paid
Date
c~3_B(P
/2-/(/- cJ 2-
-
, Receiptft)7o. 4-3#f/J~
By -f-
a
This is to certify that Ihe 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
iSS~ ~~ /2~(;~2.--- do-f? ~~,
Planning Director Date . Special Conditions. ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
Canary - Engineering
Pink - Planning
Th(" Crnlrr (If lhl! l,.kt Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
NAME OF APPLICANT 111 /J~/ TER-f 8.e~/)N f LJCJ5/
I
APPLICATION RECEIVED 4- - I 7 - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~4-3& pO/l/DV/EJAI l/Cfi/l-
Accepted
Accepted With Corrections X
Denied
7~~
Date:
Llhz/03
,
<:?- ,.
Reviewed By: ~
Comments: .,
(J
8J( ~ 47~ /"., rh~ r ~~ ~
.~~ ~~ ~f61
~ ~ tC2Il7- ~ .
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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."
,JRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L/~3B PoN.o 0e-t.-J TreAft- S\€r
NATURE OF WORK ~b~ R:,ac/-l IRoo~
I
USE OF BUILDING S. F: D.
PERMIT NO. 02~/594- DATE ISSUED IzJz-/o'l--
CONTRACTOR'1)tlIIt~ ~J:B31 tAJAL~ PHONE952-4~a - 57o<{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING
I ./ J ---? ,;)
/ ex ..........
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
mp
111'11/
t+-q -d7
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
mr
/,),. CJo-O I
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.
FOR ALL INSPECTIONS (952) 447-9850