HomeMy WebLinkAboutBuilding Permit 03-1061
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ t)(0 S-<1
SCHEDULED .UD/~~1
~~9J Q.J.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Ue~f
o FOOTING
o FOUNDATION
o FRAMING
D)NSULATION
If!ff FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o YORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
INSNOrl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
, S D 5~ JV1m--l,-I-6v RJ,
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 7BLOCK J ADDITION iLurp S E~ AiJiJrnp-cj
OWNER ~ iI.. A I""
(Name) D~~:) y....... \ bJ t.:(
(Address) , S- 0 S- <f /'/\^~f Itn/ Rc.~-
(Phone)
BUILDERi'"'.. ~ _ I; "" /!
(Name)~ L' O~-r.
(Contact Name) M~ k...D~('~
(Address) I f(Jt) ~\J~ft1 LrL. J~~
,
TYPE OF WORK
o New Construction
DMisc.
OLower Level Finish
l)~ T"A "(",-tit t> ~E
PROJECT COST IV ALUE (excluding land) $ I ""2 I (51:)'0
OUtility Connection
Date Rec' d
(g-{;,-3
PERMIT NO. 03 - /Ob I
ZONING (office use)
RJ~
PIrbt)....I)5/", Cl'J?-O
(Phone) 9 os: 2 -- '19 C <. ~iO ?
(Phone) (..,., L '-1-10" ~D <02-
DDeck
OPorch
ORe-Roofing
ORe-Siding
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~erty to perform~. irnspections.
X j'"--' J --'- t~ ~- ~- 0 ~
, Signature Contractor's License No. Date
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
/
fli'Jj? tJtJ (), 00
$ \/0l73.~5
$ /9tJ, 61
$ q.~o
$
$
1$
$
$
~~ :~ Yom B,:"dffig p",,", Wh<n Approv<d
'". 7~~ 0"/11 /03
Building Official ~
o Fireplace
OAddition
OAlteration
# $
# $
$
$
# $
# $
$
$
$ ~92,F'
"
Receroo .,,5Z/&
By , .
(J
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 ~c:U!la~cy~ust be
issue..d. ~r ~ "~.' <U ~..l..l.Q IYJ~ Il)'r~. --
~ ~b~
~,~ 00 If. 0) ..!...L.AI-!r n,y .-n{~ vnu4 1Yt(cl-ek.du-~
U PI ann! g I I~r \. Date Special Conditions, if any 11-
V 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
HZ _ f3 6
f1 /2 ' () 7
.
jYhit.. - Rltild~
\ Canary - E~gineering )
l'"'mK . - Plannmg
Tht ('tnl.. of Iht l..kt Counlry
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: .
..
--.'Yi--r ~_ ..' ,--",-':. f.<;..:: C)
CJ ./ l. '7 //7 ~/ /""4 .t ~ '-."
,..'/ J'./,-'_.~"" ~r...! iJ'" .~.. .~
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1-""'. ,....... \.
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Accepted X
Accepted With Corrections
Denied
Reviewed By: ..-e~.\. Date:. (pI1..o ((J'S
Comments: See Reverse Side for Additional Information!
See Attachments: . 2) Erosion Control Measures
3) Erosion Control Plan
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,"
The Center of Ihe t.kt Counlry
~e - JiuildinQ)
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~
APPLICATION RECEIVED
1//--~-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const/~~;qty W7J;=~ /!cJ
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ 7l~~ Date: ?/1(/o:S
Co~ments: ~_ ~ t7 ~ ~ ~
LN-~-Io~ 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. II
Thr Crnlrr of Ihr Lakf' <"ounlry
White - Building
~ - Enqineering
~ Pink"- - - PJinnlng ~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;
I
./"'.;')
(/ -~
.P
.-,
::>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: i
;'
~. /.-.J.
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/::J (j
{f
/:./
Accepted '/J
,
Accepted With Corrections
Denied
Reviewed By:
Date: 0 ./1, ()~
Comments:
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10 I ./J-Lc::tL
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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 LS05.!l h'1AN/,(JtI R/).
NATURE OF WORK AlGW . G~-
USE OF BUILDING SJ;J;) , .
PERMIT NO. ()J-ltJb/ DATE ISSUED 13/,1 JO"J
CONTRACTOR ~ ~ P~-'l9D"SO'2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
) . . THE P~R~IT IS BY SEPARATE DOCUMENT
r. I/tr2..1 (:y ) 0 S I O~y~ SI:; (6f\a.'--- INSPECTOR DATE
~FOOTING ,~""'A/ L4v~( I 4'kr I ~/~~~03
FOUNDATION (Prior to Backfill) I ~ I ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
FRAMING
INSULATION
ELECTRICAL
Ck-
~
q j~~B:?
~o / 1--e /e:r3
.
(C)K
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL (~
~
lL/~ tSJ
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/7.,- 3--03
ADDRESS ! ~C) S-9 fi1C.hl 'fr,v f(j
OWNER CONTR. /1",III~J ~,,<;J.
PHONE NO. PERMIT NO. t) 'lr/{:;('!
[] FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~':~NSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~IWNG
~O CO)ill[AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
Drt'n.w..,y c9t-
)_/
~~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn