HomeMy WebLinkAboutBuilding Permit 10-0994 DA TIME
CITY OF PRIOR LAKE l �
INSPECTION NOTICE SCHEDULED `�
ADDRESS �� �� F7�[/L �/J ; /'�
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADJFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOQKUP ❑ FIREPLACE RI
❑ fNSULAT{ON ❑ SEWER HO(�KUP 0 FfREPLACE FiNAL
�FINAL �G�C�,pL� ❑ PLUMBINC FINAL ❑ GASLINE AIR TST
❑ SITE IN PECTION ❑ MECH FINAL ❑
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COMMENTS: C,O (` L�
ORK SATISFAC70RY, PROCEED
❑ CORRECT A ION A D PROCEED
0 CORRECT R L FOR REINSPECTION F��VERING
I nspector. Owner/Contr:
CALL 7-8850 FOR THE T INSPECTION 24 HOURS IN ADVANCE.
CODE RE MENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl
urs�rori
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oF prt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� '£ M1� y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��< <�l�
. � AND UTILITY CONNECTION PERMIT
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M�'�NES��P i wn��e File pERMIT NO
2 Pmk City O
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS i L � �; r ���� ��� �,.��, � ZONING (ofl use)
�c>O � 1 �1
LEGAL DESCRIPTION (office use onty)
LOT BLOCK ADDITION PID �j O3I , O((. O
OWNER
(Name) (Phone)
(Address)
(Company�Name) � � �) `Cf �r��� "\. (Phone) �/� � / � 7 ' �� �(
(Contact Name) � �� (Phone)
(Address} � � w► ,�/
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidiag ❑Lower Level Finish ❑ Fireplace
�Addition �Alteration ❑Uhlity Connect�on
CODE: [�i.R.C. ❑I.B.C. ��sc. �
Type of Construction: I II III IV V A B ���
Occupancy Group: A B E F H I M R S U �ROJE T COST/VALiTE $
Division: 1 2 3 4 5 (excluding land)
I hereby cert�fy that I h irn e or �on on this appl�canon which vs to the best of my knowledge true and correct I also cert�fy that I am the owner or authonzed agent for the
above-menhoned pro a c truchon will conform co all exuhng stare and local laws and will proceed in accordance with submitted plans I am aware that the butldmg
officiaJ can revok fo t c e Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspecaons
X a2bi2b��'a �u-�S- to
Signa re Contractor's License No Date
Permit Valuation r, �� Park Support Fee # $ �
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Permit Fee $ Z S . � SAC # $
Plan Check Fee $ ��.Z�' Water Meter Size 5/8"; 1"; $
State Surcharge $ , 5� Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE /p Z� , /j) $ �,. �.
This Appli tiott B omes Yo�r Building Permit When Approv Paid Rece' N
Date � B
l Cj �°,� /o
Buildui�� Utticinl Da e
This �s to cert�fy that the request m the above appLcanon and accompanymg documents is m accordance with the Ciry Zomng Ordmance and may proceed as requ��stcd. Th�s document
when signed by the Ci Planner consntutes a temporary Certificate of Zonmg compLance and allows construcnon to commence Befure uccupancy, a Certificate of Occupancy must be
usued
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Pl g Director Date Special Conditions, if any
24 hour notice for all inspections {952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
O 4 PRip
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White - Building
,�! ,� Canary - Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT � �~''��- � � � j �-� �-� ��•� -���°-°' •
APPLICATION RECEIVED ��-% . � �'' • � �'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....- ..... ,
�, �' .�...+�, � .• l�` f ,� f fa.:' t''. J 't /;4° � �'`�� � �� � ,_ ,_. ,! .�'l �'""% �1...�...,
Accepted Accepted With Corrections
Denied
Reviewed By: Date: /�li �o� ��D
Comments: C t�crren� a✓� s���C � l�� is �8 �
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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."
O � PRIp�
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White - Buildi
P Canary - Engineering
�INNES�� Pink - Planning
BUILDING PERMIT APPLICQTION DEPARTMENT CHECKLIST
NAME OF APPLICANT ��� L � � �N� �
APPLtCATION RECEIVED � • 7iC0 � � �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�!0 2 l� ��/r2 �hl/� �HOI-�S ���L-_
Accepted � Accepted With Corrections
�
Denied
Reviewed By: ate: �O Z6 ` o
Comments:
"The issuance or granting of a permit or approval of ptans, specifications and
computations shail 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."
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �ZO F.4i�t��,.�� SH�s Ta.Ru_
TYPE OF WORK p�Q�.o�.
USE OF BUILDING
PERMIT NO. DATE ISSUED �o/uo Ic.
BUILDER E�2L ps C�cra�cs� PHONE #_ (ot�• �t tR•338�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FINAL ' i c( o ra
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FOR ALL INSPECTIONS (952) 447-9850
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DE�.i� '91 1J:�� JOHN�uN REIL�MD CGSTR CTIuN �'
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