HomeMy WebLinkAboutBuilding Permit #03-1074
CITY OF PRIOR LA](E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8-.1 ?.;{B
1. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 0 3 ~ I 014-'
(Please type or print and sign at bottom)
ADDRESS
J 4;L "" A SP&J-./ Ave. }J E.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
ZONING (office use)
pu~o
PID 25. 2-00. 048. 0
OWNER < I J. ~
(Name) -II M -1' I~ a. btcc.A- C L~A.."~
. (Address) I '-I 2 f.D CrJ A ~ peN t\ \41[. J'I E-
(Phone) ':;-/.-. ".2.. ~ ,. A J Q IS
~ c c,Sl'JU#~I&t.
BUILDER~
(Name) 1< Eu.:a, ~.s~IW~ .E.~""'~A.'..4...s
(Contact Name) I'<. GIJ .6, ~ O-.J
(Address) ;J.:S'Sf. 1-1 \NY I 0 1''1 ""'~~.s
TYPE OF WORK
D Misc.
(Phone) 7 (, 3" 7 S e!J(J.O(JQ
M~ (Phone) c,t2- l ~ -1S-1k
,
\I,E.~J.MJ./ SS~
DLower Level Finish
DDeck ~orch ORe-Roofing ORe-Siding
D Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTlVALUE (excluding land) $~ O~ 9.,3 ~
o New Construction
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 awar dLLU~uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
::.u~ to p orm nd'ded i~ctiOns:... ;>. 0 ~;l. 0" B S- B -/:1- 0 :s
Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.;t ~, tJlJ(), 0 iJ
$ -3zl. ZS
$ loB'. f I
$ 10. 00
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ 7~t-J ~h/aJ
Building Official Date
Park Support Fee
SAC
$
$
$
$
$
$
$
$
0"~.03 $ 5'L{O,Ofp
f)
. Receipt ~sI. ~5"z,. Z, 1
By /,,-
o
#
#
Vvater Meter
Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
'Water Tower Fee
]Builder's Deposit
Other
#
#
TOTALDUE~
Paid
Date
-5 ~_ Ob
f1J . IS:O ?
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 constitu~s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
u~ 7~ 8/Wp3
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
~k - Plann'iii~
Thr Crnlrf or thr t.kr Country
BUILDING PERMIT APPLICATIION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j~:C.1 V rll-:;.~/"'~ l-llv' e.c.--
G' / .?
~). I Z" (/...;
cr< I [A:::~ / (, t..' r
The Building, Engineering, and Planning DHpartments have reviewed the building permit
application for construction activity which is proposed at:
/.cI.2.. (> (. /1-: rL flJ /1[,/ ~.. /v'. 6:
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~?~P
Date: Y/; y ~ '3
, ,
Comments:
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."
c::::YVilite - Build~
Canaiy - Engineering
Pink - Planning
Tht' Ct'ntt'f of tht' t.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
P ~NA / Sf I1-N ee,
6_/2-., os
EX/~et()/~
APPLICATION RECEIVED
The Building, Engineering, and Planning DHpartments have reviewed the building permit
application for construction activity which is proposed at:
/4-Zt:R(P /tSPbA/ ;4~b IL( 6
Accepted
/
Accepted With Corrections
Denied
('
~?J~
Date:
f1/rfA:s>
I /
Reviewed By:
Comments:
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.1I
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS /1/24,' W ~c. }l. e.
NATURE OF WORK bDl .
USE OF BUILDING _ ~ I:) · .
PERMIT NO. {)~-I074- DATE ISSUED IJIII/I.~
CONTRACTOR RDI'I1JMN4# D1TA/~ilS p~I"" .. ,,11
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING
,/' (~{
~./~
~/~s-tD3
J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~
q.Iv1--tf>3
~. Ivy~3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILOI .
ELECTRICAL
~
~ ;'vt{tLJ'-(
\ 1~1;;lo3
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 II L t..l! a{ t L ~ 1J{)
ADDRESS --11i~ /~ At.-f L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - {07t-{
o FOOTING
o FOUNDATION
o FRAMING
}s 0 INSULATION
FINAL
~~ITE INSPECTION
o PLUMBING RI
o ME:CH RI
o WATER HOOKUP
o SeWER HOOKUP
o PLUMBING FINAL
o ME:CH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
c!ft<-- ~ Cte~ bi~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owne rICo ntr:
CALL 447-985Q FO~ THE: ~~!~T ~~~PECTIC)N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNon