HomeMy WebLinkAboutBuilding Permit #03-0594
DATE TIME
CITY OF PRIOR LAKE 7~q
INSPECTION NonCE SCHEDULED
ADDRESS 7470 /: y/ ,. v<. 0>-.,. lrf
OWNER CONTR.
PHONE NO. PERMIT NO. ?-~l(
o FOOTING o PLUMBING RI o EXIGRADIFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: Q..Jc
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.-q-Q) Owner/Contr:
CALL 447-9850 FOR. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-(Cj-03
I. White
2_ Pink
3_ Yellow
File
City
Applicant
I PERMIT :p~~!~
ZONING (office use)
(Please ~e or print and siJro at bottom)
ADDRESS
.3470 S v' C a.l41Qh e.
/
LEGAL DESCRIPTION (office use only)
T;-/A~/J
PJ../o J...
Lake ,/rAM .C."-~72
/ .
LOT
BLOCK
ADDITION
PID
OWNER
(Name)_Wt'~~
(Address) ~4 70
M.
~ d.a.../om. ({ I M~
Iw.. :// p"",~
(Phone) 9t;2- 2~';'~
Syed ilIA",...
L4h. 41P
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BUILDER
(Name) rJUJ""e.1-
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
D New Construction
ODeck
OPorch
ORe. Roofing
ORe.Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration
DUtility Connection
5lI Misc. 6<1ko..'( R"'flL1C~ /ik,.""f
PROJECT COST IV ALUE (excluding land) $ -5'CD,_
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 loca11aws 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 inspections.
X U)~/4-'1 Vh I iMJ..A...
Signature
Contractor's License No.
MdY /q ZOO'!
Dfte ..-
1 Permit Valuation '.~,"1l I Park Support Pee # $
I Permit Fee $ ~3'5'0 I SAC # $
I Plan Check Pee $ /5,27 I Water Meter Size 5/8"; I"; $
I State Surcharge $ ,S7J I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $
I Plumbing Permit Pee $ I I Water Tower Fee # $
\ Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas Fireplace Permit Fee $ I TOTAL DUE 1/ :?9.';;" 7
)
This Application Becomes Your Building Permit When Approved I Paid 39. a-'7 I~;~o, 4-~2;kl'
~ . I Date 5"'.1"/.'//7
~ 5(i9h~
- 0
Building Official 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.
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
~~
White - Building
Canary . Enqineering
C Pink - Planninci)
Thf('fnlnorlhfl.lkt'Country
~U1LDING PERMIT APPLlf:ATION nFP4RTMENT CHECKLIST
NAME OF APPLICANT
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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:
)/ 7'
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Accepted
V'
Accepted With Corrections
Denied
Reviewed By: ~ c... ~
Comments: _ U
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- ~ V1at- .v,c.h ~ bt u frYo.d. .1.Jiir:fi I'\Q. ~_
I <.I -
Date:
5/1q{D3
I
"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."
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<:yihitP - !jWldina -..
Canary - Engineering
Pink - Planning
ThO' ('..nlf'r of Ih"I..k.. ('ounlI'Y
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W ~ fl1::<.d e r
APPLICATION RECEIVED ---->-.-F)- / q ~0;3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 1J7{) ,-,~U('4. j/}1tJrC/ /r
I
Accepted
Accepted With Corrections
/"
Denied
.~~ Date: O;'i7~3
Comments: ~.....k-, ~J!.J .A~-,,-~,. +- iF:!
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Reviewed By:
~
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~ 0-1 (
"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 3'I.,C S~CA1Mat' 1'I2A,i..,
TYPE OF WORK .
USE OF BUILDING ~.
PERMIT NO. ~ DATE ISSUED 5/ t9lcz
BUILDER lAJ~s ~ PHONE #f5Z-lZ' -/06'
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 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
, FINAL
I 111! II I -J-C1 /3
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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