HomeMy WebLinkAboutBuilding Permit 09-0527
ADDRESS
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DATE/
SCHEDULED \Z.!l~! a;
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0'( -52,
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
)t..FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: C l.o.s~ FlLe- uJ~~K..
FoJL TH-lS ~ L:f' Lt..) ~
Co-'\l\ L::> ,--e.rao LJ) Aj l) ~ pcSLfl't L7 tt' C>'\ - , 0 f <c.
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTIO~D PROCEED......
o CORRECT~. LL f9ELREINSPECTION BEFORE COVERING
Inspector:
XT INS~ION 24 HOURS IN ADVANCE.
--- .,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
1{;1 c2
Dt,W litE..
A Ie. ' J
\lL- . S. Vv'
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER "-
(Name) t?O&f;e:r ,
(Address) J ~ ~ t:-2..
/J'1h?TfM L'IIJC}f
'J)ClA.:rrtr:- ~f.- S.W-
I White
2. Pink
3 YeHow
File
City
Applicant
PERMIT NO. OC?, 0527
.
PID
Date Rec' d
1./~,01
ZONING (office use)
(Phone) qs L 27.;7 lc I[, -7
BUILDER M... 4 ~, .-
(Company Name) ,ftr7Jtb..) f!gf:7TY MM 1 If:: ~Slx--vt7t~
(Contact Name) Mlf-Tr R?E-JTY/YJ-+N
(Address) 435/ zoof'k ~ !:-1f-Si- RIM~-
(Phone) CJs 2. j,-() 7 - B Z z..C-'
(Phone) (
~
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Lev~l Fi~ 0 Fireplace
DAddition o Alteration OUtility Connection 'tt3J1liM
CODE~T.R.C. OLB.C. XMiSC. J?/126' /)/11'1/166 /2t3Jm ~1l6A./
Type of ~stmction: I II III IV V A B I" 0 -
Occupancy Group: A B E F HIM R S U PROJECT C~ST IV ALUE $ - lV. I . -, .
Division: I 2 3 4 5 (excludlOg land)
I hereby certify that I have htrnished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or alllhonzed agent for the
above-menl1oned operty and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
official can ~th~~~rlfor Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform necdcd mspecl1ons.
X ~~ {_) -:::#-2"i"?I..~/'7 7,-/1 ~~1
/ ,/ Signature Contractor's License No. Date
I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1- 0 I
$ \0'- I 0 OD, UD
7Sl.5O-
: ~~.~
$ I
$ 1
$ 1
I
I
I $
~
~ - /
comes Your Building~t ~ AP,/ved
l(~/oc;
.......... Date' ;--
Park Support Fee
#
$
$
$
$
$
$
$
$
Builder's Deposit
I Other
I TOTAL D~ fJI1A,Q) 7. 'J4}. 0 1
I Paid r/.::IF 33/0 I Receipt No_ .S'ffifS6
I Date '7 j?/ /09 I By r..4-,.,
/ , , ~
'JZ7qf"~,f:; _
~ .
quest m the above applical10n and accompanymgn:~en~~:;x: accordance With the City Zonmg Ordmance and may plOceed as lequested ThiS document
~, , , '~pill'" C,m'"'' of "'''i ;'''; ;' "ow, 00''''''"''' <0 rommoo" Mill' ""''''". , c"",,,,, or 0",,,,,, m,. be
Pfdul\~ 7. ~ pat~i Special Conditions, if any
__ ~hour notice for all inspectionsft952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
SAC
#
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
#
Water Tower Fee
#
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION OEfARTMENT 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:
Accepted
Denied
Reviewed By: 11
Comments: ;J;,
/J.--w-a.-rcL) .
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Acce ted With Corrections
"
Date:
of<'"
7 {!O~
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rct:::Jr- 1.:>"e.r,.A..- r
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liThe 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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
I~ '1ft. I>6WI77& l'I~e
B/I8 H
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. J'. 0 ~7 pATE ISSUED 7,,/7.0'
BUILDER ! ~.,. PHONE #~(J1. tJ72"O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPAflp..TE DOCUMENT
~6*L...- tv. L. '{ ,,161 INSPECTOR i 1 ~ATE
I I NSI/Uf71fJ#11 I t2:~ I crh /0:1
PLACE NO CONCRETE UNTIL ABf:LVE HAS BEEN/'.(fNED
FRAMING I (/1) , r 1~/~f
/
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',f/wfl7 1/'fJe4
FOR ALL INSPECTIONS (952) 447-9850
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FINAL
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,. White ~-.8.'II~
~ry - Engineering
Pink - Planning
NAME OF APPLICANT /,,/1-17//-/6 {II PU ([II ;V/rlN ~ ,H5S0~.
I
APPLICATION RECEIVED 1. 1(;. 0 q
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&982- DEt,V// IE ;-lve-. s. vV.
I
V
Accepted
Denied
,
,~!'
Reviewed By:
~
------ .-/
Date:
7 ~!o~
I
Comments:
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(lc.b-rf0 ~~~-r.,-~
&- c::?~ / &V f.. /}f,.Lf 1,'1J 7~1 IN
,A- J/w.- !rW1CS.
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liThe 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."