HomeMy WebLinkAboutBuilding Permit 03-1044
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED q I J-.I-;P3
ADDRESS -/51-~ L( f2~~ PetA-IT 4d I
DATE TIllE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6 :1 ~ tOL/t./
<
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JiI' FINAL
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ r-t~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .?uI ""-
Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
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(Please type or print and si2D at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
tJ3-I04'-1
; ~;~;:' ~:~ I PERMIT NO,_ .1
J,YellowApplicant ~
15/&''-/ Rsh P~. ~d, jJTJ'/).r LAtLe.-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
/l1d//C5 /6+ Lake- ftcHtJPID 25. ()]9.oo1, d
OWNER
(Name)
I<!tJ bu- (;; "+- ~ d. fl<.- Urt 1'71 tfU'7
/srgl..j -:nsh fJOt-rlr i<-cl.
(Address)
I BUILDER
(Name)
.
!<oAf UT1t:.- ~ c:rU5YI,
::T"AJ "-I"tvtEtC-
Date Rec'd
7.30.03
'" - -
'J
ZONING (office usel
1Z15. 7)
(Phone) 9SJ -'1l/O - ;)..a-&""I
:];:I<<; ,
(Phone)
(Phone)
(Address)
(Contact Name)
/0'71./0 iAj~ ~_s. /fE,
8/o0YJo1..U1.c, ~ ,MAJ S~lfU)
. TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
'7f~- f8K-S~7~
,t)~
ORe-Siding
OLower Level Finish 0 Fireplace OAddition ~ation OUtility Connection
. (!L;i"lv~ ..r~,...,O(W bPclYE>O......., ~
fB'"Misc.WVld'IW rtfJltt~T, VA-U<.:r PROJECTCOST/VALUE (excluding land) S II~o -
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 y."y.....~J 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 y."y":'n) to perform needed inspections.
x
.4#Ut'..btu-
Signature
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
,~
'II (JCJO, ()t1 I
$ r IQS. Z~
I $ 12(", . 9 { I
1$ s: So I
$ I
$ I
I $ I
I $ I
I $ I
This Application Becomes Your Building Permit When Approved
~UJb
Building Official
~k1
'Date
/.3(!.;;J-33'?
Contractor's License No.
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
I Other
I TOTAL DUE t.R.(j ~~
I Paid 3;;vJ' (r? b
I Date <;;/ I~- .3
7/rr/';.\
Date
#
#
$
$
#
#
j
I
I $ I
I $ I
I $ I
I $ I
$ I
$ I
$ ~:J-1, {; '" I
g,&-o.o
.--
I ~~ceiPtN~ d/Ji
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
~annin~ ..ff/ t. ~ -:3 Special Conditions. if any
24 hour uotice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-"".-- ...."-..-., -.-..---.__.. -_"'~"'''''''.'_''=V'
~~
White - Building
Canarv . Engineering
(15ink - Plannina~
Tht ('tnlrr flf tht I..kt ('ounl!")'
BUILDING PERMIT APPLICATION DEPARTMENT 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:
, -- /
//'~U .._-,
I'....~.; ." '/ / ('1
- -
Accepted
,/"
Accepted With Corrections
Denied
...
Reviewed By:
';t)~ ?~
~ 4-..-0-(1
Date: r/to/O'3
,
i(~ 4~'- rf-
Comments:
~
J
"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 - R~
Canary - Eiiiirneering
Pink - Planning
Th~ ('tnlu of lht I..kf Counl."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-;z c.nz ~ (l LrJt;(J ~
7- 30-03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~/g>f/ +~L PI-i<d
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~~ 7~"'-' Date:~~3
Comments: &it ~ ~ ---- - p;- :.. -~) . ( .. -, ~.
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~-4.A.'1 :... ..4-a -A..o7d ~ /~ ~ ~~
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a/~J -<H JdMd J,
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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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ISI8t! EiM fJ~i..J"r R&l>
NATURE OF WORK ..wifJ^"'~ ~JMD)r /~d__ (~"6L
USE OF BUILDING '$". D. '. _
PERMIT NO. DATE ISSUED EJ{1Li IlJ:J
CONTRACTOR ~,.L'tiJ (' ",NsT'Il.t..tS/,,J ilJc. PHONE.fSZ -B~~
NOTE: THIS IS NOT A PERMIT FOR ANY 6F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I i
I j
TE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
ffL
(VJt'
/;fIf/
q -'j..-d '>
t:! - ? -(f)
JII/r
vr -l--~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.L- '*-.1
I ~
OCCUpy UNTIL ABOVE HAS
NOTICE
4*
I
I
I
I
I q!?-b~
BEEN SIGNED
C}(U!d3
t;, I Z-rm'3
BUILDING
ELECTRICAL
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