HomeMy WebLinkAboutBuilding Permit 03-1024
DATE T1IIE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ?i-It
ADDRESS It:! /fo L.oWlt'l/-(f'"CC ~
,
OWNER CONTR,
PHONE NO, PERMIT NO. 1-(47 '3 ~ -!()l.r
"
o FOOTING o PLUMBING RI o EXlGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: IlIP '6-/ f-t6Owner/Cont~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
If'SNOTI
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT g-- 1-03
I. White File I PERMIT NO I
'P;"k C;'y . /l.;;? -/OZ4-
3. Yellow Applicant , LJo-J ,
go
{?,
.,.c:c
Av-c."",~ -c-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID7~ /q4-, 004-.0
OWNER
(Name) /3'. C 13..w.h.~
(Phone) "15"2 - 4,"f- $'2. ~7
13 l.Ji.
(Address) .:__
BUILDER
(Name)
-$,C
"13". k(..~
tL" J......c
VI"l,
(Phone) qS-1-+t~ ~+~
(Phone)
(Contact Name)
;1(1"""0-
(Address)
c.8"f
~<...( sr.-
TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
DAlteration
DLower Level Finish
o Fireplace
DAddition
PROJECfCOST/VALUE (exc1udingland) $
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~re
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; 1 ";
State Surcharge $ Pressure Reducer
Penalty $ City SAC and WAC
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
$ TOTAL DUE
#
#
#
#
ORe-Siding
DUtility Connection
Date
$
$
$
$
$
$
$
$
$138.
~
'-.
~-
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
~1
White . Building
Canary . Engineering
Pink . Planning
Th~ ('''nlr. of tht' L.kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Be B u..K1l1CJ:
APPLICATION RECEIVED X::-I..--03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!t//g-O tihm~
Accepted
./
Accepted With Corrections
Reviewed By:
;2()
Date:
~4~
1S-6:---r7'-t-=--<-
Denied
Comments: I . P/E;/Z.J11 (
AIlt> 5I>t2-tAlf/ "~~
-
....
"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 - Engineering
Pink . Planning
Th.. (-..n'.., nf Ih.. I..k. ('ounl")-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'--
t"
(i j..' i i (no ~
APPLICATION RECEIVED
/
'''/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i .' -./
.' " /~ '...1
-~_;'4:'
/ I
(
Accepted 'IJ
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
Date:
e -4-<06
v ~<laS-
~-hO
_~nlLtflJ2.sl.
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uuJ-pO-TIbJ ~
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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."
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87/31/2083 15:36
9528988928
AflTH LOUIS BURtB'IILL
PA(~E 81
ANTHONY LOUIS CENTER - BURNSVILLE
1517 EAST HIGHWAY 13
BURNSVILLE, MN 55337
952-890-8879
FAX 952-890-8920
FAX TRANSMITTAL
Date {/~ O~
~~.Q-
Company:
2-
Frpm:
[fthis transmission is not received complete or illegible. please call 52-890-8879
Message:
"L"'to rH\ 0. hon
on
t> (7)~ Vf1 vY\ "5 .
Number of Pages:
3
(including this page)
If the reader of this fax is not the intended recipient or the employee or agent responsible for
delivering it to the intended recipient, any dissemination or copying of this fax is strictly
prohibited. If you receive this fax in error, please telephone and return the original to us at the
above address.
DISCLOSURE OF THIS MATERIAL IS PROIUBITED BY FEDERAL LAW,
"This information hag been disclosed to you from records protected by FEDERAL CONFIDENTIALITY RULES
(42CFR PART 2). The Federal rules prohibit you from making any further disclosure of this infonnation unless
further di5closure is ex.pressly permitted by the written consent of the person to whom it pertains or as otherwise
permitted by CFR PART 2 t. A general authorization for the release of medical or other infonnation is NOT sufficient
for this purpose, The Federal rules restrict any use orthe information to criminally investigate or prosecute any
a.lcohol or drug abuse patient.
07/31/2883 15:35
3528388320
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24 hour notice for al . . .
ImsJ)ections (952) 447.QR'iO fav 'oc~~:c~~ :~~~itions. if any
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I 4--/80 (V) /l~6~.-6
NATURE OF WORK ~ /'~
USE OF BUILDING ~ J
PERMIT NO, ~ - tt24- DATE ISSUED z.; /03
CONTRACTOR .{iL .e... Dc..lc... PHONE I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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INSPECTOR
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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This card must be posted near an electrical service cabinet prior to rough.in inspections
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FOR ALL INSPECTIONS (952) 447-9850
Augi5 2003 9i6AM ~IASTER MECHANICAL, INC
No,3846 p, i 4
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