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HomeMy WebLinkAboutBuilding Permit 04-0021 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ..",.. (Please type or print and sign at bottom) ADDRESS 5 / t:::.-- FrJ IV /54'27 Date 1 I. White File 2. Pink City 3. Yellow Applicant PERMIT NO. 04-" 0 0 z.. I CI ,e.. 56 ZONING (office use) K /5.D LEGAL DESCRIPTION (office use only) LOT Z BLOCK 4- ADDITION GNIt:.NA V sflo~s , OWNER (Name) (Address) J/r? r?//V{ BUILDER (Name) (Contact Name) (Address) PID zS: 09/. 017. 0 (Phone) ~ R'W () VA- (!A) AI J / /t.- . -:J7J HU 3874-- G~~;J ~ ./~. 6'2--" 9 +"0 . 7,/)8 TYPE OF WORK "DlDeck o Fireplace o New Construction OLower Level Finish o Misc. (Phone) (Phone) o Porch ji(Addition ORe-Roofing ORe-Siding o Alteration OUtility Connection PROJECT COST IV ALUE (excluding land) $ 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 ;/,pon e pr fly perform needed inspections. 4 (?fr-/ f ~ -/q -03 '-t-4 Signature Contractor's License No. Date Permit Valuation fZ4000, 0 0 $ LI z...Co . 5a $ 277.2:3 $ , 3> ,00 $ $ $ $ $ P.:.uuit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical PC.llUit Fee Sewer & Water Permit Fee Gas Fireplace Pcuuit Fee This Application Becomes Your Building Permit When ~t'& ~ led ~ ~ (b5/dY Building Official Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE ~ /.J5.0~ $ '71".'1J Paid ? / (,. '13' Receipt ~o. 4'-Z-/'7 Date /.I(,./J"" 0 . 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 ~gDi!w~ Jlsi'f ~~ ~coo~ 24 hour notice for all inspections (952) 447-985(), tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ..,' Tht C'tnttr of tht 1.11lt Country White - BWJsI!!1g <:" Caruuy - Engineering) Pink . Ks-nnlng BUILDING PERMIT APPlJC.ATION DE.eARTI\dENT CHECKLIST NAME OF APPLICANT /'7 "~ '~-} /. />~;1 ,(?:;; A (/'//t," ./ j";r? (. J:~'>i.i./ if;..,...... t ~;f'_.~. vV<~- ~.~ ',',....'--~". ;L,_, APPLICATION RECEIVED /~2. - / <I -GG The Building, Engineering, and Planning Departments hav~ reviewed the building permit application for construction activity whic9.~s proposed at: ~ . -.... /'-7 - L' /_., .-;:1 .:.... ;j ~ I j ...-;:77...j . ;-9' .-:l. / ~ :t;.. / C', /Le/;(;i:" ~.I _"(/ A ,,4. ,tJl 1// . Accepted x Accepted With Corrections Denied Reviewed By: It1'1-fJ Date: /-IS-o'f Comments: --5ee R~rse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control 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 ''J!tt ('.114., of Ih. tlkf Coulllry White . Building Canary . En9!"::. :;9 rt'1QI.. . Plann ,BUIL.DING..eSRIVIIT ~PPLICATION DeeARTI\IENT CHECKLIST NAME OF APPLICANt ~i4.. e,Uifr APPLICATION RECEIVED 1~-/9-03 '4.~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whi~~)s p~oposed at: \ / ~. 7 - {M ,', '~...,/ ,...', ,'-' v::;', '1/ 1#/ ~ A ~~ c;;:J 11 \. ~'" f.~::.I ~ .,.,.. ...,...r, ,/' "'V (/ . Accepted Accepted With Corrections ~ {~. Comments: Denied ,.... Reviewed By: ~ ~ ~~~ p~_ ~ IN. J:- ~ 'l-S' ~ · vv ..~ ~ ~ ~ .act-~ Date: /;;-/3"); '] I , 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 ~ <:::White - Buildi~ Canary - Engineering Pink - Planning Thr ('rnlrr of Ihr bkt Counlry NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI ~?1Z ~A.l.slr /~-19--()3 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for con;;;;c;t~ W7+d~ ~4 . Accepted With Corrections / Accepted Denied Reviewed By: ,.. ~ ~ Date: ;d-/Sd/o 7 , . ~ o-L( ~ I ~.~J-?~ ~~ , Comments: p~ 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 --" ,,-':'1..",":, ~".... PRIOR LAKE INSPECTION RECORD SITE ADDRESS IS tl/Z? ~E FA IJ CI ~6 .r. e ' NATURE OF WORK AD.blno~ "J frH )ftA. USE OF BUILDING ~.~O, ~'CId-J) PERMIT NO. 04. 00 Z I DATE ISSUED .J1..f1.W ~ CONTRACTOR ~~ ra~NPHONE.4lz .,~O ~ 71tJ&. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING INSPECTOR M) O-((j(- I fJvd1. 1tVV-" ~ -, FOUNDATION (Prior to Backfill) rD. l-? 7 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE t --J-2- -eJ'i/ FRAMING INSULATION ELECTRICAL J.~ '8'-tJU( ~-lq'Ol .. vvvl 't -(Cf,tf1 .. ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) BUILDING E ECTRICAL 1"1 Vr(/ ! ~L!; {)C/ ! V1Jy' ) .'}' U:'Ol/ 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. l::"lOII\. Lt. ,,,,c,,,'!"- ~~~D~'S r95~' 447-98~n '" II CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED ADDRESS /S-Lf), l s~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING fJr,1.... / A _ 0 WATER HOOKUP o INSULATION 'CIH/~ 0 SEWER HOOKUP OJ'fINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: DATE TIME ~ -)001 U~I" u- 2-1 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o --.~ /~ ^ ~ 7:-1" / / III k1C---" J'-e) ( \. ~r~ "-.. ~ fWORK SATISFACTORY. PROCEED /0 CORRECT ACTION AND PROCEED o CORRECT v:Aj, c;J? FOR REINSPECTION BEFORE COVERING Inspector: f tt r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YO(TR PERSONAL HEALTH &I SAFETYI I/IISNOTl