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HomeMy WebLinkAboutBuilding Permit #03-1347 (Please type or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant Date Rec' d Cj /Z- .,03 PERMIT NO. 03-1347 /~t)f}~ OIGtb ~ /9'1/6 s6 LOT BLOCK LEGAL DESCRIPTION (office use only) ADDITION OWNER (N ame) (Address) BUILDER (Name) (Contact Name) (Address) ~ J-" IJ - - - -- tLO-Vl k l/ r~_ l <a..k e S tA.,-$ 4... LA.. c;cL s+/p I n{; V ZONING (office use) ,(2tSO PIDzS. Oq~4 03QO (Phone) G\A.~( H~/(; /Jr_ ~;-... r J"17- ~. ,. . .: ,..--. :.l 5---.. :J..~ (Phone)Or-952 - 9lJ-9-2 22..;> (Phone) 5 CL (r\.,. ~ - . 0 ., () C/; ( . jC-- ,6('/-,- ~~~c ~ r Dl.U.i&..~<~ ~ r '3 ( "') TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace )lAdditiOn o Alteration OUtility Connection o Misc. PROJECT COST/VALUE (excluding land) $ i?':;QCJ(). /)() I 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 I am aware that the building official can ~ke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ':ter nthe ~neede~~t 9112 /'0 /- Signaturep Contractor's License No. · I DaJ, :3 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?s;., · tJtJ $ , B J a . 7S- $ 532 d " $ 37.50 $ $ 10, 0 lJ $ $ $ This Application Becomes Your Building Permit When Approved c-- Building Official ~ '=(~ ~/, 34;r , . Date Park Support Fee SAC # # $ $ $ $ $ $ $ $ $1~2B.# Receipt No. LiSROb I By ~ I 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 issued. ~ 7 --. · 101 to' 00 ~E~g Di'e: Date . . . Special Conditions, ifany I 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 V.fater Meter Size 5/8"; I"; Pressure Reducer City SAC and WAC 1Nater Tower Fee Builder's Deposit Other # # TOTALDUE ~ fo.lI.o? r ,J A I Paid / Lf?ft', If Vf I Date I . //) -11p- ~ ~ White - ~uilding C CAn:a"'l' - I=naineetUiD:> Pink - Planning Th~ ('tnl~r of Ih~ I.akr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APP~.ICANT APPLICATION RECEIVED (~/I5 /. ~6 G;r/iT...... (: ~ IJ' ,J7L. . 9. /'2, {!3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /0084- CA6t-G UbEt::- /IV6 -s~~ I . Accepted x... Accepted With Corrections Denied Reviewed By: fYJ9-f) Date: I () - C, -03 Comments: See Reverse Side for Additional Information! See Attachments' 1) (1r~ding Pl~n, 2) Erosion C;ontrol Measures 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 i ~ White - Building Canary - En~ineering L.. Pink -- - PI~nnin.9> Th(' ('('nl(', of th(' Lakf Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ L-1 r- -:.~, .. 'J'L (//1'-:> / [...t; c.tli I c-. 9. /12. u3 Ct/UJ/L · APPLICATION RECEIVED The Building, Engineering, and Planning DE~partments have reviewed the building permit application for construction activity which is proposed at: / h 0 84- E}-I6Jt6 C/~6EJ::.. I J l/C -J't I . Accepted X ( Accepted With Corrections Denied Reviewed By: Q~ Comments: Date: 0(, '~.03 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 the take Country C WhJte - Bui~ Canary - I:n~.I.eerlng Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M-S7l6- CiI1I ~ Vl/J S I L · 9. )12~ 03 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l~o84- t716tb ~/W6 Sb , - / Accepted Accepted With Corrections Denied ,- Reviewed By: ~ 7~ , Comments: /C'~ ~ Date: . ~:fAJ {/ 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." Dee 02 03 06:42p Jef'f' Scherer 952-447-6735 p. 1 ~) ~~.J/ Date Rec'd CIlY OF PRIOR LAKE PLUMBING PERMIT C:-(}~\~ ~-\o ~'~:)\\~(::...\\~ 1. Blue File PERMIT NO. 3-1 31/v;'. 2. Gold Cily ). Yellow AppJiunl (Please type or print and sip at bottom) ADDRESS \\oa~'-\ ~C\~~C- ~\.KYl\\\:.-(- . I ZONING (officeusc) " LEGAL DESCRt..t- liON (office use only) LOT BLOCK ADDITION PID OWNER (Name) (phone) (Address) ~;;~~ANf ~~~ey V\u",\)\C\C~ (Address). C\~O ~d\\ac\ ~\'<.1L c5<L (Address) (Contact Person) ~5 (L \t Scl~ e..r _ APPLICANT SIGNATIJREC1u...-Lt.k-. ( ))/~i \Jl.JJ 1 I vv I APPLICANT PLEASE COMPLETE BELOW Type of Fixture I Quantity Bath Tub with or without shower I Dishwasher . ,1< \\"\ ,",,:. ~ Floor Drain rf\\~d.) . JX~" Lavatory (Bathroom Sink) \ \ ' ~1 J~ . -.ri Laundry 'fray (1 or 2 compartment sink: r "'-" f\.\}J Shower Stall ~...., Sinks .. I Bar Sink I Water Closet (Toilet) (phone) C\c~~ - '-\4'1 - tc {3y (~) S .3 '7 ~ (Zip Code) lo\)'-lY,- 308 3 I~.)~)C 3 (Phone) .,) \. r\D\ la.\lQ (City) DATE Quantity Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backtlow Assembly Backflow Assembly Test Lawn Sprinkler Other . FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 mi.nimum Resjdenti , ew One & Two-Family $99.50 Re' ntial. Additions & Alterations $39.50 Estimated Cost $ $ $ .50 $ . ~\~;M'i Pai<eU\L9\ Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved Building Offici.1 Date : \ By Date ,. .llE.C 8...1aD 3 p..J- 24 hour notice for all inspections (952) ~7-9850, fax (952) 441-4245 &r PRIOR LAKE INSPECTION RECORD SITE ADDRESS. llo DB&.{ EA CLEEJL ALlG. ~ NATURE OF WORK ~ :tIO~ USE OF BUILDING S.F="; Q, PERMIT NO. 03-:1?~7 DATE ISSUED !t~~07 CONTRACTOR CA~~ ~ IfJe. PHO.NE.tl2-,--ZSZ-O"'" 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 0~ ~th'-t(t:f3 ~ FOUNDATION (Prior to Backfill) /? W IP ~~ kG PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ~ L2-/ ~blb'j INSULATION tJ" if? ~ '1-1114 / e3 ELECTRICAL c9~ PLUMBING ~~ l2-ll 010 ~ HEATING (if required) .AIk L7-lt~/D3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ,1/1// 3,-!lr(/lj t/V)P ''3--/ {-d4 ~ J-/I,()~I , 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. FOR ALL INSPECTIONS (95?) 447-9850 T - CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /t~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAl o SITE INSPECTION COMMENTS: ....,... / f) r--R e~-? '-.~' bJit ($<1 C)C.. 11'.) c. -(.1"1 J-t I SCHEDULED (;' (;:...(., err,.,// CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ,;) I2J PLUMBING FINAL ~) o MECH FINAL DATE nME -Z - /j,'{/l/ 's -ltJC/7 o EXIGRAD/FllllNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o cb'~/ ,.).1'/ + hAYf J /4' I rs ..;.., \ ( ~iI" d '-y ~ /Yt s.h/lit I -------- / f /' I ( / I ''r~ n \.'" ( ____ V u-L ~.. ._~,.. ~ r--j 1 {'- I \.Q / / / ~ ~ o WORK SATISFACTORY. PROCEED d CORRECT ACTION AND PROCEED o CORRECT Vt ~~R REINSPECTION BEFORE COVERING Inspector: } /; f" OwnerlContr: CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY! INSNOTJ ~-JJ -Qj /{(:)8 'I t~~ e,ee f.lIhM CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: r-~ ~ It.- DATE nME (!)~ -131/7 ~ING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o l'~ :V WORK SATISFACTORY. PROCEED "O'tORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING lnspector:~~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. """"0 CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!